Complaint Investigation Report

Records reviewed indicated that staff have adequate training. Review of staff schedule indicated that there are staff scheduled to work to meet the residents in care needs. Interviews with Administrator, staff and residents indicated that staff are able to complete their daily tasks and assist all residents in care with their needs. Therefore, the allegation insufficient staffing is unsubstantiated.

Facility is not arranging transportation to doctors appointments

Interviews conducted indicated that administrator was assisting in scheduling transportation for doctors appointments. There were a handful of times that the third party transport company cancelled last minute causing the resident to miss their scheduled appointment. Administrator or facility staff are able to assist with taking residents to their appointments. Therefore, the allegation facility is not arranging transportation to doctors appointments is unsubstantiated.

Records reviewed indicated that sodium tablets were prescribed but then discontinued in November 2025 by Resident R1’s primary care physician (PCP). Facility was using an updated medication list signed by R1's physician as reference to the medications given. Facility accurately discontinued the medications as requested by PCP. Interviews conducted indicated that resident R1 was willing and able to take their medications and does not have any refusals of medications. Therefore, the allegation medication mismanagement is unsubstantiated.

Facility not providing a safe environment

Records reviewed indicated that R1 and R3 were in a verbal altercation on 11/16/2025. No injuries were noted per incident report. Interviews indicated that staff are providing a safe environment for residents in care. Observations indicated that residents are safe and being taken care of by staff at the facility. Therefore, the allegation of facility not providing a safe environment is unsubstantiated.