Complaint Investigation Report

MARs reviewed showed medications administered as prescribed, with no discrepancies noted. Incident and complaint logs for the past six months contained no substantiated reports of medication errors or unqualified staff administering medications.

LPA observations during the visit confirmed that medications were stored securely in locked cabinets and carts, and medication passes were conducted by staff wearing name badges indicating their role. No unqualified staff were observed handling medications.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Susan O'Shaughnessy, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.