Complaint Investigation Report

Regarding the allegation Staff handled resident in a rough manner , it was reported two unidentified women smashed R1 into the wall and caused a knee injury. Administrator denied this allegation. Information obtained from interview with Administrator advised R1 did not advise that facility staff handled R1 in a rough manner. Additionally, Administrator stated R1 was aggressive and abrasive towards staff. Information obtained from staff interviews denied they were rough with R1 or observed other staff being rough with R1. Information obtained from interviews with residents indicated there has not been a time when staff has handled them in a rough manner and they have not seen any staff miss handle any other residents. A review of the records did not document there were any disciplinary actions regarding personal rights violations.

Regarding the allegation staff are overdosing resident, it was reported R1 had a prescription of a specific medication since 2021 and only 60 pills were given over the course of several months, but the facility managed to give R1 60 pills in a matter of 15-30 days. Wellness Director, Shannon Moore denied this allegation and stated that the medication was distributed as prescribed by R1’s Physician’s orders. Information obtained from interviews with staff stated medication was given as ordered. Staff also stated that R1’s medications were not re-evaluated during the 30-day respite stay. Information obtained from interview with Hospice Nurse indicated there were no concerns brought to the attention of the hospice team regarding R1’s medication. A review of the records, which included R1’s Medication Administration Record (MAR), and R1’s centrally stored medication report, indicated that the medication was provided to R1 as prescribed.