complaint·July 9, 2024

Staff did not ensure medication was not accessible to residents in care: It was alleged that two prescribed medications (1) one tube of hydrocortisone and (1) one tube of Calmoseptive Ointment were accessible to residents in care. To investigate the above allegation, from 12:00 PM to 1:00 PM, LPA conducted interviews and reviewed documents pertaining to the allegation. Interviews with the Administrator and S1 confirmed that on June 11, 2024, a random unannounced visit was made by a credible witness who observed prescribed medication in the shower caddy in a resident's room accessible to resident in care. During today’s visit, LPA did not observe any prescribed/over the counter medications/vitamins left accessible to residents in care. Review of facility’s Medication Policy states that all prescribed and over-the-counter medications will be kept in a safe and locked place that is not accessible to residents in care. Based on the information gathered during the visit, the allegation is deemed SUBSTANTIATED. Staff did not ensure a lid was on infectious waste garbage : It was alleged that a trash can inside the main resident hallway bathroom was observed without a lid by a credible witness on June 11, 2024. To investigate the above allegation, LPA interviewed Administrator and it was discovered that two weeks prior of June 11, 2024, the trash can lid was broken and did not have a tight fitting lid. During today's visit, LPA toured the facility and observed that all trash cans do have lids. However, Administrator admitted to have a trash can with infectious waste without a lid prior to LPA's visit. Based on interview and observation this allegation is deemed Substantiated at this time. Citations issued. Appeals rights discussed and provided. Exit Interview conducted. A copy of this report provided to Administrator.