Complaint·January 8, 2024

3. A record review was conducted of the Medication Administration Records (MARs) of the identified residents, including physician's orders. Residents were interviewed who state that they are assisted with/provided medications daily. Two of the residents identified passed away prior to the start of this investigation and another was independent in medication management at the time. Facility "Med Techs" were interviewed and medication procedure was reviewed. 4. A record review of facility documentation including "Observation Notes" (Med Tech charting) for R1 and R5 was conducted. Staff documented R1's symptoms and changes leading up to hospitalization on 9/13/23. R5's Observation notes as well as internal reports were reviewed and show that R5 sustained two falls, refused to be hospitalized and received X-Rays as ordered by Physician. Based on interview, record review and observation, the above allegations are UNSUBSTANTIATED . Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. There were no citations issued An exit interview was conducted with DON and Administrator (AD) Rob Huntly. The report was signed by AD and emailed to rhuntly@kingstonbayliving.com.