complaint·April 17, 2023

10:50am. All staff denied the above allegation and informed LPA that R1’s medications are being delivered in bubble pack and have been always administered as prescribed. LPA made an attempt to interview three (3) out of four (4) residents. Only two (2) out of three (3) residents were able to communicate and addressed no concerns about their medication assistance. LPA reviewed the facility Centrally Stored Medication and Destruction Records (CSMDR) of the random residents receiving medication assistance by the facility staff. Upon review of the medications LPA observed that R1’s prescribed medications were centrally stored by the facility. In addition, LPA observed all R1’s medications were properly registered on the Medication Administration Record (MAR). Based on observation, interviews and record review, there is not enough sufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated at this time. Allegation: Staff do not ensure meals are made available to resident Regarding the allegation that staff do not ensure meals are made available to residents, LPA's interview with three (3) out of four (4) residents revealed that the facility provides three (3) meals and snacks in between every day and that they all have an access to the kitchen at any time. Two (2) out of three (3) residents also informed LPA that the staff will provide an extra meal upon request. In addition, interview with the Administrator Assistant and two (2) staff members revealed that R1 eats very frequently and never had any concerns and that the staff will also customize food being served upon resident's request. Based on the information gathered during this visit, this allegation is deemed Unsubstantiated at this time. Allegation: Licensee does not inform resident’s responsible party of incidents involving resident It was alleged that R1 was hit by the roommate and the incident was not reported to R1's responsible party. To investigated this allegation, LPA interviewed Administrator Assistant, two (2) staff members and three (3) residents. All staff members and (2) residents denied ever witnessing R1 being hit by another resident and informed LPA that no such incident had occurred with R1. In addition, two (2) out of three (3) residents informed LPA that due to R1's medical condition they prefer to stay away from R1 and have a minimum interaction/communication. Based on the information gathered during this visit, this allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of this report signed and delivered.