Complaint Investigation Report

In an interview, R1’s RP described an incident wherein a former staff member (S16) refused to provide PRN medication to R1. R1’s RP said that S15 witnessed the incident. In an interview, S15 said S15 had not witnessed any incident wherein S16 refused to provide medication to R1 without good cause, and had not witnessed any disagreement regarding medication between R1’s RP and S16. S15 said R1’s RP had often asked for R1’s medication during time periods in which the resident was not to receive additional doses, per R1’s prescriptions. Several other staff members (S1, S2, S5, S9, S13) reported experiencing similar incidents with R1’s RP. No other staff members interviewed were aware of an incident wherein S16 refused to provide medication to R1. LPA Moleski attempted to contact S16. Both phone numbers for S16 on file were inactive.

Eleven caregivers and medication technicians (S5-S15) were interviewed regarding staffing levels at this facility. Among these 11, four staff members voiced concerns about the current staffing levels. S5 reported no problems meeting all residents’ needs. S6 said the cottage S6 works in is well staffed and reported no issues. S7 said S7 was able to meet all residents’ needs with the current staffing levels, although sometimes it takes a while to complete all tasks. S8 said S8 was able to meet all residents’ needs. S9 said staff were not overworked and were able to complete all tasks. S10 said sometimes medication technicians must pass medications in three cottages, and during those times they are short-staffed. S11 said S11 needs additional assistance from a medication technician when caring for a bedridden resident, but said all care needs were met. S12 said staffing was not sufficient during mealtimes, which are very busy. S12 said S12 was able to meet all residents’ care needs. S13 said the facility is short staffed during the lunch hour, but said all care needs were being met. S14 said current staffing levels were sufficient. S15 said staffing was sufficient provided that the right staff members were on shift. S15 said all care needs were being met.

Among the nine residents interviewed, four voiced concerns regarding current staffing levels. R2 said all R2’s needs were met and felt staffing was sufficient. R3 said there were enough staff to meet R3’s needs. R5 was not sure if the facility was understaffed, but said R5’s needs were being met. R9 said that R9’s needs were being met and said there were enough staff. R10 said R10’s needs were being met and did not voice concerns regarding staffing or regarding care received at the facility.