complaint·July 14, 2025

Allegation: Staff are not properly trained to administer medications - UNSUBSTANTIATED It was alleged that the Staff are not properly trained to administer medications. However, during the investigation, LPAs reviewed the Med Tech schedule for May, June, and July 2024. S2, S7, S8, and S9 were scheduled as Med Tech during May, June, and July 2024. The record reviewed shows that S2, S7, S8, and S9 have all completed their training on record. Allegation: Lack of supervision resulting in resident sustaining a fall - UNSUBSTANTIATED It was alleged that the facility lacks supervision, resulting in a resident sustaining a fall. During the investigation, LPAs reviewed the R2 physician report, R2 assessment, the time R2 moved in and after the sudden fall. At the time of the incident, R2 was receiving appropriate supervision according to the R2 assessment. R2 assessment dated 12/17/2023 – 5/23/2024 shows R2 ambulates independently. R2 had a sudden fall on 6/24/2024 facility updated R2's needs and services plan after the fall, dated 6/25/2024, indicated that R2 will be checked every two hours before and after bedtime on going. Allegation: Facility is not ensuring a staff is on duty on the premises overnight- UNSUBSTANTIATED It was alleged that the facility is not ensuring a staff in on duty on the premises overnight. During the investigation, LPAs reviewed the staff schedule for May 2024 to the current shows the facility has staff on duty on the premises overnight. LPAs conducted staff and resident interview confirmed that there are staff on duty on the premises overnight. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.