Complaint·August 16, 2025

Based on interviews and records review, it is undetermined whether or not the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was provided. Based on interviews and records review, allegation Staff mismanage resident's medication, R1's medication was not ordered in a timely manner where R1 missed the medication on May 1, 2025. Medication was administered May 2, 2025. Based on the Departments interviews and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Refer to 9099D Civil Penalty was issued for repeat violation. An exit interview was conducted and a copy of this report was provided with plan of corrections and appeal rights.