Complaint Investigation Report

Staff interview revealed that Med Techs receive the required number of training hours through a combination of pharmacy training, seminars, and hands-on shadowing. No staff interviewed were aware of untrained staff administering medications. Review of facility records did not corroborate the allegation, revealing pharmacy certifications for Med Tech staff. Resident interviews did not corroborate the allegation; residents did not express concern regarding medication administration, stating their medications were given on time and correctly. Outside sources did not respond for interview.

Regarding the allegation, "Staff pre-poured medications", it was alleged that Med Techs were instructed to prepare medications in advance, to be administered at a later time and by other staff members. Staff interview revealed that staff prepare medication immediately before administering them. Residents interviewed did not have knowledge regarding the preparation of medications. No records were found to corroborate that the preparation for medication exceeded the guidelines in order to be considered a "pre-pour". Outside sources did not respond for interview.

Regarding the allegation, "Staff did not assist with medication as prescribed", it was alleged that staff refused to administer a pro re nata (PRN) medication upon request, and forged medication counts after misplacing medication. Staff interviews did not corroborate the allegation, as no staff advised witnessing or being informed of a Med Tech not providing a PRN when requested. Staff interviews with records corroboration further revealed that the medication in question was not misplaced, but had been turned in to management and disposed of, per requirement. The resident in question (R2) denied the allegation, stating that staff were helpful and provided their medications on time and upon request when needed. Outside sources did not respond for interview.

Regarding the allegation, "Lack of supervision resulted in resident AWOL", it was alleged that a resident was found multiple times wandering away from the facility. Staff interview revealed that the facility does not have a memory care unit and staff are not allowed to prevent residents from entering or leaving the facility of their own will. Staff interview further revealed that the resident in question (R3) experienced an acute change in condition and the Licensee updated the resident's care plan; Licensee also maintained contact with their physician and responsible party. R3 was transferred to a different facility that provided a higher level of care. R3 was unable to be interviewed.