Complaint Investigation Report

This is an amended report. LPA also reviewed facility staff supervision and duty checklists for all shifts during each day. These checklists include marking designated client checks on the hour each hour with reminders to make sure each resident is appropriately groomed and has adequate hygiene cleanliness. LPA also conducted record review of client records on-site at the facility that included information on grooming/hygiene procedures for each client’s Activities of Daily Living (ADL) as well as the Needs and Services Plan for C1 which included documentation on cleaning/grooming. All clients interviewed by LPA stated that they regularly shower/bathe in the facility. All staff interviewed by LPA stated that clients who need assistance with grooming/bathing/hygiene are helped and all clients are regularly reminded to maintain appropriate hygiene. LPA observed clients in the facility to be adequately groomed, clothed, and bathed while in the facility during the complaint investigation. Based on the information gathered, there is insufficient evidence to prove staff do not ensure resident’s hygiene needs are met. Therefore, the allegation is Unsubstantiated.

On the allegation: Staff are mismanaging resident's medication. It was alleged staff provided C1 with the wrong medication(s).

LPA physically observed that the facility maintains a locked centralized storage area for resident medications. Centrally Stored Medications are in a locked storage containment area within the Staff office area/room of the facility, which is a set of cabinets/drawers that always remain locked, inaccessible/locked to residents. LPA observed Centrally Stored Medication and Destruction Record, The Medication Administration Record, and the record of Controlled Medications. LPA audited the medications for C1 and noticed no irregularities or issues concerning the dispensing of medications or the logging of medications. The medications in the facility were labeled appropriately with no additional or prohibited markings by the facility. LPA requested and received Physician Orders and hospitalization records regarding the prescribing of medications to C1. All medications being stored and dispensed by facility staff for C1 have been documented by medical professionals with instructions that are being appropriately followed by facility staff. The facility records and reviews C1's medication on a regular basis including comments and side effects experienced by C1. LPA received Informed Consent Forms for Psychotropic and Psychoactive Medications for C1 signed/dated by C1’s physician and C1’s legally appointed State Conservator. Based on the information gathered, there is insufficient evidence to prove staff are mismanaging resident’s medication. Therefore, the allegation is Unsubstantiated. Contd. 9099-C