complaint·April 27, 2026

Staff did not ensure prescribed medications were properly dispensed. Staff did not properly document residents’ medication log. Staff do not ensure that medications are not accessible to residents in care. The Department conducted interviews and reviewed facility records, including MARs and supporting documentation. The investigation did not reveal sufficient evidence to support that prescribed medications were not properly dispensed in accordance with physician orders and facility procedures. Information obtained indicated medications were administered as prescribed. Interviews and a review of the MARs and related medication documentation did not provide sufficient evidence that medication logs were not properly completed or maintained. Records reviewed did not demonstrate systemic or substantiated deficiencies in medication documentation practices. The Department reviewed facility medication storage practices and conducted staff interviews. The investigation did not provide sufficient evidence to support medications were accessible to residents in violation of requirements. Information obtained indicated medications were stored in a manner intended to prevent unauthorized access. Although allegations were made, the preponderance of evidence standard was not met for any of the allegations. Therefore, the allegations are determined to be UNSUBSTANTIATED . Staff left resident soiled for an extended period of time resulting in resident obtaining a UTI. The Department conducted interviews and reviewed facility records, including care notes, incident documentation, and medical information available at the time of the investigation. The investigation did not provide sufficient evidence to support that staff left a resident soiled for an extended period of time. Additionally, there was no evidence obtained during the investigation establishing a causal relationship between facility care practices and the resident’s diagnosis of a urinary tract infection. Information reviewed indicated resident care was provided in accordance with established care plans and facility procedures. Although the allegation was made, the preponderance of evidence standard was not met. Therefore, the allegation is determined to be UNSUBSTANTIATED. Exit interview conducted. Report left with facility.