Complaint Investigation Report

Allegation: #1 Staff are not administering resident’s medication.

The complaint alleged that staff sometimes bring R1's medication in the morning, while at other times R1 has to seek out staff to receive their medication. On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegation, stating that the Medication Technicians (Med Tech) follow the doctor's orders and ensure that all medications are given to R1 on time.

On the same date, the department also interviewed two Medical Technicians (MT1 and MT2), who denied the allegation and explained that while they follow doctor’s orders, they do not assist R1 with medications, as R1 has been managing their own medications. They also mentioned that if the facility receives medications without a doctor’s order, they contact the doctor’s office to request that the orders be faxed. They emphasized that medication must be administered 1 hour before or after the scheduled time. Additionally, they stated that they use the Electronic Medication Administration Record (E-MAR) system to assist with residents' medications and to prevent errors.

Moreover, the department interviewed five staff members (S1-S5), all of whom denied the allegations and confirmed that only Med Tech assist with administering medications. The department also spoke with seven residents (R1-R7); six of them denied the allegations and reported that staff helps them with their medications without any issues. Resident R1 stated that they do not require assistance with their medications and can manage them independently. On April 28, 2026, the department reviewed R1's records, including the Medication Administration Record from July 8, 2024, to August 19, 2024, and found no discrepancies

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur; therefore, the allegation is Unsubstantiated.