Complaint Investigation Report

It was alleged that staff are not following Physician's orders. Interviews with outside sources revealed that at some time, C1s medications were changed when C1 was seeing another doctor. Interviews revealed that C1 was not taking medications that were supposed to be discontinued (DC) at that time. Outside source revealed that they have went over the medication list with the pharmacy and saw no discrepancies. Interviews revealed that C1 is very stable right now and the family wants to take them off certain medications but does not realize C1 is stable due to being on those medications and that if they take C1 off those medications they will not be doing as well as they are now. Interviews revealed that any restrictions that were initially imposed back in 2021, S1 was not aware of due to client not living at the facility at that time. Interviews revealed that C1 had dietary restrictions stating no dairy, no acidic foods or carbonated beverages, this was shown on MARS dated 5/21/2024-06/19/2024 and MARS dated 07/20/2024- 08/18/2024.

The Department has investigated the above-mentioned allegations and based on interviews with staff, clients and outside sources, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Administrator, Sally Saif, to whom a copy of this report, LIC 811 Confidential Name List, and the Licensee Appeal Rights (LIC9058 03/22), were provided at the conclusion of the visit.