Complaint Investigation Report

The following day R1's and R2's Service Coordinator came back and observed that the resident's were not in the bedrooms. It was learned that on 06/14/2023, R1 and R2 have been up since 4:00am because they had to leave to day program early in the morning. R1 and R2 did not come back to the facility until around 4:30pm and had dinner at 5:00pm. It was learned that R1 and R2 asked to go into their rooms to relax after dinner because they had a long day at program. An interview with staff was conducted and it was denied that medication was given early. It was stated that staff best practice for staff to administer medication was during 8:00am for AM meds, 12:00pm for noon meds, and 8:00pm for PM meds. Staff state that they try to provide medication as close to scheduled time as possible. An interview with 4 residents were conducted. 4 out 4 residents deny that they get their medications early. 4 out 4 residents do not have any issues with receiving their medication.

A review of the Medication Administration Record was conducted. LPA did not observe any indications or errors during the time of June 2023.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.