Complaint Investigation Report

On 08/11/2022, LPA interviewed Administrator (ADM) Christina Rossi. ADM stated client C1 was admitted to the program on 7/26/22 and left the program on 08/01/2022. ADM stated the facility did not force C1 to leave. ADM stated C1 mentioned he/she did not want to continue the program. The facility asked C1 to sign a document if C1 would not finish the program. C1 signed the document on 08/01/2022. ADM stated on 08/01/2022, C1 left the program and the facility without notice to the facility staff.

On 8/11/2022 and 01/27/2023, LPA interviewed staff S1 and S2. Both stated client C1 left the program and the facility by himself/herself. Both stated the facility did not force C1 to leave.

The facility Director of Licensing and Regulation provided a copy of the letter/document that C1 was leaving the program against the advice of the attending physician and the program administrator which was signed by client C1 on 8/1/2022.

No evidence to indicate that client C1 was forced to leave the program and the facility.

Staff forced resident to take medication:

On 8/11/2022, LPA interviewed staff S1. S1 stated he/she explained to client C1 what the medications was for when he/she administered medications to C1. S1 stated he/she never told C1 the medications were for "hearing voices".

On 1/27/2023, LPA interviewed staff S3, S3 stated he/she administered medications to R1 by having R1 to be in the Med room. S3 stated if C1 refused to take medications, he/she will try 3 times to administer medications to R1 by calling R1 to be in the Med room within 2 hours. If clients refuse medications for longer than 2 hours, staff will document client "refuse medication". S3 stated he/she will document in the Medication Administration Records. S3 stated he/she never forced C1 to take the medications. S3 stated if S3 did not take the medication, then he/she reported to Administrator.

S2 stated the facility staff tried to convince C1 to take the medications but never forced C1 to take the medication.