Complaint Investigation Report

Hospice agency was at the facility, on 10/10/25 and 10/11/25, to see the resident. Hospice will be overseeing resident's medication (s) and adjust the medication as needed, with Physician approval/order. Per review of hospice records, there was no documentation regarding concerns with how resident's medications were being provided to them, and no concerns on the care being provided to the resident.

LPA observed the lunch meal being provided to residents', including R1. Per interviews with staff and other parties, meals are always provided, snacks, and if someone wants seconds of food and/or another item, the facility will provide this to the resident. The resident's personal phone had no charger, and staff would charge the phone for the resident. This would be done in the kitchen and/or in the facility office. R1's responsible party decided to collect the cell phone while at the facility. LPA interviewed staff and other parties regarding staff speaking inappropriately to the residents' and/or staff handling residents in a rough manner.

Per investigation and review of records, including medical records, medication records, hospice records, interviews with staff, interviews with other related parties, and staff records, there was no information obtained to support that violations had occurred regarding the allegations reported.

Based on LPA's review of records, including medical records, medication records, hospice records, interviews with staff, other related parties,staff records, and related information obtained during the investigation, the allegations of "resident's medication is not being provided as prescribed, and resident's personal rights are being violated" are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted with the Administrator David Hanna.