Complaint Investigation Report

Staff did not prevent a resident from harassing another resident.

It was reported that a roommate requested cigarettes and hits of electronic cigarettes (vape). It was reported that roommates steal cigarettes, vapes and chargers. It was reported that a roommate smeared feces on another roommate’s bed.

During staff interviews S1 stated the theft of cigarettes was investigated and it could not be proved. S2 stated R2 went into S3 room and take belongings, staff stated we replaced stolen items when reported to staff. S2 stated when questioned S2 would confess when he stole something. S2 stated we ask R3 to lock his door or put items in a drawer out of site. S2 stated we reported the theft incidents and kept a record of the thefts.

Resident interviews revealed that S3 stated I had a lock on my door but I didn’t lock my room.

R3 stated the other two residents would steal cigarettes, vapes and chargers from me. R3 stated R1 would wipe feces on my bed, staff were witness. R3 stated R2 would ask me for a hit off of my vape, I always told him no. S3 stated it drove me crazy, I had to move out to the hotel. R1 stated R2 would knock on my door and ask for cigarettes. S3 stated R2 had toileting behaviors. S3 stated R2 was afraid of R3. S3 stated R3s bed had feces stains but we were unable to verify who’s feces was on his bed.

Staff did not dispense medications as prescribed . During staff interviews, S2 stated we had an order for ear drops with directions to start January 12, continue for seven days. S2 stated that R1 was still having ear problems and we took R1 to urgent care. S2 stated that the doctor renewed the order to continue to the twentieth. Record review revealed doctors orders to continue ear drops to the twentieth.

Record review revealed R1 was prescribed an ointment with directions to apply twice daily for fourteen days. Upon review of the medication administration report it was discovered that the ointment was applied for sixteen days.