complaint·September 6, 2024

However, once the facility obtained the medication it was relied by R1’s responsible party that they no longer wanted to give this medication to the resident. Facility documentation shows that this medication was not prescribed nor was on medication administration record. Based on the information gathered, it is unclear that staff administered unauthorized medication to resident while in care. Allegation: Staff are not following a resident’s licensed physician’s orders It was alleged that staff are not following a resident’s licensed physicians orders. During the course of this investigation, this LPA reviewed facility documentation and conducted interviews. This LPA conducted 3 staff interviews. 3 out 3 staff members deny that they do not follow the resident’s licensed physician’s orders. It was learned during interviews that the facility administrator consistency informs staff providing information of any changes in medication and ensure that staff understand that new orders. A review of the Medication Administration Record and resident Physician’s orders were conducted where there were no indications to show that the facility did not follow the resident’s licensed physician’s orders. Based on the information gathered, it is unclear if the staff are not following a resident’s licensed physicians orders. Allegation: Staff are mishandling the residents medications It was alleged that staff are mishandling the residents medications. During the course of this investigation, this LPA reviewed facility documentation and conducted interviews. This LPA conducted 3 staff interviews. 3 out 3 staff members deny that they mishandle medication. It was learned during interviews that the facility administrator consistency informs staff providing information of any changes in medication and ensure that staff understand that new orders. A review of the Medication Administration Record and resident Physician’s orders were conducted where there were no indications to show that the facility did not follow the resident’s licensed physician’s orders. Based on the information gathered, it is unclear if the staff are not following a resident’s licensed physicians orders Allegation: Staff do not have adequate food service for the residents It was alleged that staff do not have adequate food service for the residents. During the course of this investigation, this LPA reviewed facility documentation, conducted interviews and reviewed facility records. Based on interviews conducted 3 out 3 staff members deny that they do not have adequate food service for the residents. Staff report that they go grocery shopping once a week for produce and once a month for bigger items or pantry shopping. It was observed during the LPAs visit that the residents enjoyed the food that they were provided for breakfast and lunch and 3 out 3 residents reported no issues at this time. During these visits, this LPA reviewed the facility food to ensure there was an adequate amount of food supply. This LPA observed a sufficient amount of food supply and snacks during the facility visit. In addition, LPA reviewed facility records which show that the facility is conducting grocery shopping for this facility on a weekly basis. Based on the information gathered it was unclear if the facility did not have an adequate food service for the residents. Based on information provided through interviews and records reviewed, this allegation is deemed UNSUBSTANTIATED, meaning that there was not a preponderance of evidence to prove or disprove that the allegation occurred as reported. There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.