Complaint Investigation Report

Medications are dispensed in bubble packs and are numbered. LPA did not find a discrepancy during their review. Interview revealed that R1's medication was changed during their hospitalization and staff maintain that they followed the medication orders that R1 was discharged with. Review of the incidents reports indicate changes in behavior and aggression leading up to hospitalization. Incident report dated 11/24/2022 indicate that on 11/24/2022 a 5150 hold was initiated and that on 11/28/2022 R1 was re-evaluated and diagnosed with dementia.

Based on the available information regarding R1 receiving the correct prescribed dosage of medication, we have found the complaint allegation Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.