Follow-up·October 4, 2023

On 10/04/23 at 2:15PM, Licensing Program Analyst (LPA) conducted an unannounced case management visit and met with administrator (ADM). LPA explained the purpose of the visit with ADM. LPA observed only two residents (R1, R2) are living at the facility. During visit, the department obtained the following documents from administrator - staff roster, residents' roster, admission agreements, physicians reports, ID/Emergency information, hospital discharge reports, Centrally stored medication logs and Medication administration records. Review of R1 & R2's centrally stored medication logs and medication administration records dated 04/2023 until 10/2023 show staff assists both residents with taking prescribed and over the counter medications in accordance with physicians' instructions. LPA observed both residents are diagnosed with dementia. ADM stated she administers each resident's medication as prescribed by their primary care physicians. ADM stated she did not replace residents' prescribed medications with herbal supplements nor stop administering their prescribed & PRN medications. Based on records review, interviews conducted, and observations made, the allegation that staff stopped administering prescribed medications to residents and replaced them with herbal supplements is unsubstantiated. No deficiency cited during visit. Exit interview conducted and a copy of report provided.