Complaint Investigation Report

Allegation- Staff do not prevent residents from engaging in inappropriate behaviors.

The department conducted interviews with residents and staff, facility’s observations, and record review to investigate this allegation. Allegations in this complaint indicated that R2 engages in inappropriate behaviors with R1. From staff and residents’ interview, it has been revealed that resident R2 will sometimes go into R1’s bedroom and hide under the bed. Interviews indicated R2 has 24 hour 1:1 staff and therefore staff is always with R2. Interviews with staff stated that staff have never witnessed any of the residents in this home engaging in inappropriate behavior with each other. Based on the allegation that residents engage in inappropriate behavior, this allegation is found to be Unsubstantiated.

Allegation- Staff mismanaged residents’ medication.

Based on the department's investigation, including facility observations, record review, and interviews with staff and residents, it has been concluded that the allegation made against the facility regarding medication administration is unsubstantiated. The interviews with both staff and residents indicated that medications were being given to all residents as prescribed. The facility maintained proper logs and documentation for all medications according to physician's orders. The residents confirmed that they were receiving their scheduled medications and the staff were not mismanaging their medications, therefore, the allegation is determined to be without basis or evidence and is therefore considered Unsubstantiated.

A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted.