complaint·May 7, 2025

Staff did not ensure that resident took medication as prescribed Interview with residents revealed staff are good at giving medication. Interview with staff indicated staff would compare the resident's medication with E-MAR prior to administering medications to residents. Staff hid or camouflaged resident medication in another substance Interview with staff revealed that only residents that has a crushed order would have their medications crushed and mixed with applesauce. R1 had a doctor's order for crushed medications and mixed with applesauce. Staff do not respond to resident's call for assistance in a timely manner Interview with residents revealed that staff would take a few minutes to respond to call button. Interview with staff indicated there was an issue with staff clearing the call after responding to residents which caused a longer time in the pull cord logs. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted with Sherallyn Dones. A copy of this report provided.