Complaint·April 16, 2024

Allegation: Staff do not dispense resident’s medication as prescribed. During this investigation department reviewed resident medications, no medication errors were observed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Staff do not assist residents with care needs in a timely manner. Based of staff interview and history records review no files to support alleged violation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Staff do not adequately monitor facility entrance doors. Based of LPA observation and staff interview facility doors are monitored by staff during visiting hours from 730 am to 6pm and locked during none visiting hours with call access provided. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies were cited during this visit. Exit interview conducted, report signed and copy of this report provided to administrator for facility records.