Complaint Investigation Report

Allegation: Staff are mismanaging residents' medication-Substantiated

On 05/01/2025 LPA Ratajczak and LPM Munoz conducted a medication audit for five (5) residents. During the medication audit, the following was found:

Discontinued order for Baclofen on 04/25/25. LPM and LPA observed medication to still be in the medication cart.

Discontinued order for Aspirin on 04/29/25; for Breztru inhaler on 04/29/25 and for PreserVision AREDS on 04/15/2025. It was observed that all discontinued medications were in the medication cart.

R6 had an order for Norco on 03/16/2025, the medication was not ordered and not in facility .

Discontinued order for Midodrine on 04/24/25. LPM and LPA observed medication to still be in the medication cart.

Based on information obtained, the allegation is found to be SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Exit interview conducted a copy of the report provided and appeal rights provided.