Complaint Investigation Report

Regarding: Facility took resident's medication from the room without the resident's permission.

It is alleged that medication was taken by facility staff from resident's room without their permission. It is also alleged that resident has permission from physician to handle their own medication.

Interviews with (6) out of (6) staff, deny the allegation. Interviews with S1-S6 indicated, staff do not take medication from resident rooms without permission. Staff indicated, they help residents manage medication when there is a physician's order which states resident needs assistance with medication administration and that resident is in agreement via signed release form. Interview with S2 revealed, facility has been managing R1's medication because R1 has agreed to due to R1 mismanaging their medication in the past. Interviews with S2-S4 further indicated, R1 receives their medication daily from med-tech staff who order and store R1's medication in the medication cart and document medication taken accordingly on MAR. Interviews with S5 and S6 indicated, R1 willingly takes medication provided by med-tech staff during medication pass and has never complained about med-techs assisting with managing R1's medication.

Interviews with R2-R10 also deny the allegation. Residents stated, staff do not enter rooms to take medication belonging to residents. Additional interview conducted with R1 during visit on 8/9/25 indicated, facility manages their medication which they are in agreement with. R1 stated, they get their medication on time every day from staff at the facility. Record review indicated, Individual Service Plan from 3/11/24 - 9/11/2024 stated, "resident will require medication to be administered by RCFE staff as prescribed by physician." Most current physician report on file for R1 dated, 4/29/25 also indicates, R1 is not able to administer their own prescribed medication and thus, medication needs to be given to them by staff. Review of MAR from May - August, 2025 indicate, facility continues to administer medication to resident and is documented accordingly on MAR. Interviews with staff, residents and record review do not corroborate the allegation.