complaint·April 11, 2025

The allegation of “Resident was prescribed medication without notifying the authorized representative” alleges that facility staff #1 (S1) requested the resident’s Hospice agency to prescribe R1 with psychotherapeutic drugs without notifying Durable Power of Attorney (DPOA) of the medication request. LPA reviewed R1’s hospice paperwork and the resident’s centrally stored medication and destruction record sheet (CSMDR). The paperwork indicated that all medications that the hospice company ordered were prescribed by a physician. LPA confirmed that the medications on the hospice paperwork matched those listed on R1’s CSMDR. LPA interviewed S1, the Assistant Administrator and the Administrator all of whom confirmed that the facility followed the administration instructions of the resident’s prescribed medications. All staff denied requesting the hospice company to prescribe R1 with psychotherapeutic medications. Additionally, LPA received a copy of a text conversation between DPOA and the Assistant Administrator. In this conversation DPOA informed staff of medications that R1 used to take to assist in managing their agitation. DPOA suggested to staff to speak with R1’s nurse and get the medication prescribed. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Resident was prescribed medication without notifying the authorized representative.” Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted. Report was reviewed and a copy was provided.