Complaint Investigation Report

Allegation #1: Facility is over-medicating the resident in care .

The complaint alleged that the licensee and the administrator over-medicated the client. On March 27, 2026, the department interviewed the licensee, who denied the allegation and stated that staff were trained to assist clients with their medications. They also indicated that the staff followed the doctor's orders and that the medications were accompanied by pharmacy instructions.

At the same time, the department interviewed the administrator (A1), who also denied the allegation and stated that the medication arrived with the doctor's orders, and that they adhered to these instructions while assisting clients.

During the March 27, 2026, the department interviewed four clients (C1-C4). Three of the four clients were unable to respond to any of the department's questions due to cognitive impairments. However, C1 was able to answer all questions, denied being over-medicated, and stated that the medications were necessary for their health. C1 mentioned taking several medications each day.

Additionally, on March 27, 2026, the department interviewed the caseworker, who denied ever receiving any complaints regarding C1 being over-medicated. On the same day, the department reviewed an Unusual Incident Report (UIR) dated July 8, 2023, which indicated that staff took C1 to the emergency room (ER) due to balance issues. C1 was released the same day.