Complaint Investigation Report

Throughout the course of the investigation, LPA Conway reviewed all documents obtained, conducted telephonic and in person interviews with additional credible witnesses and other relevant parties. The following was then determined:

It was reported that “Staff are mismanaging residents’ medications”, as it was reported that the facility does not have sufficient staffing to properly care for residents and that medications were not being administered. Additionally, it was alleged that memory care residents were being left alone in their rooms to manage their own treatments. An interview with the ED confirmed that, during staff shortages, the facility relies on staffing agencies to provide temporary caregivers as needed to fill vacant positions or cover staff call outs. This is being done to ensure that staffing levels remain adequate to meet residents’ needs. Interviews with residents revealed that the facility had been experiencing challenges maintaining consistent staffing levels. Some residents expressed dissatisfaction with the frequent turnover of caregivers; however, they confirmed that their medications were being administered on time and on a daily basis. Staff interviews acknowledged ongoing staffing challenges, with some staff reporting they are occasionally required to take on additional responsibilities or work extended shifts. Despite feeling overwhelmed at times staff emphasized that resident needs are being met and medications are dispensed on time. Staff also denied leaving residents unattended during treatment times. Furthermore, staff reported that they follow physician orders regarding the administration of medications, including when medication must be crushed or dissolved. Interviews with credible witnesses, including family members, indicated that their loved ones are receiving appropriate care, and no concerns regarding medication management were reported. Additionally, LPA selected seven (7) random residents and conducted a comparison of the centrally stored medication log and medication supply in the medication room was conducted. No discrepancies were observed. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations ““Staff are mismanaging residents’ medications” is deemed Unsubstantiated at this time.

No citations issued at this time. Exit interview conducted. Report was reviewed and a copy was issued.