Complaint Investigation Report

Regarding the allegation that medication not dispensed as prescribed:

LPA interviewed ten (10) residents and six (6) staff. LPA observed Med-Tech dispensing the residents medication. Staff stated residents receive medication in a timely manner. LPA interviewed residents and witnesses, and it was revealed that staff dispense the medication in a timely manner and as prescribed. LPA observed the medication room and reviewed the MARs and records appeared to be maintained and without any discrepancies. Based upon interviews, observation, and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation, the prescribes special diet not provided. Interview with R1 reveal R1 did not have a prescribed special diet from a physician. LPA reviewed R1 file and documents provided by R1 and R1 did not provide any documentation from a doctor regarding a special diet. LPA spoke with and toured the kitchen and observed how the facility documents and keeps track of residents with special dietary needs. The Dietary Service Director has a chart of residents with dietary needs posted in the kitchen for staff to maintain. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation staff ignore resident verbal abuse. LPA interviewed staff and residents. Interviews with six (6) staff revealed that staff intervene with resident’s verbal altercations. LPA Interviewed residents in care and nine (9) out of ten (10) residents stated they don’t have any issues with staff ignoring resident verbal abuse. R1 stated they are being bullied by R7 and R8 and staff are not assisting. Interviews with staff revealed that R1 has been observed being verbally abusive toward residents and staff. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

Regarding the allegation that Dementia residents are in the Assisted Living unit. LPA interviewed six (6) staff, and it was revealed that all residents are placed based on their needs and service. An interview with S1 revealed that they do not have Dementia residents in the Assisted Living cottage. The residents in the Assisted Living cottage may have mild cognitive impairment. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.