complaint·August 22, 2023

Staff mishandled residents’ medication. On the allegation that staff mishandled residents’ medication; it is the concern of the reporting party that they were told that facility staff had administered a medication(unknown) that did not belong to the resident (unknown). To investigate the allegation the LPA interviewed the director. The director informed the LPA that the facility had self reported on a similar incident through an Incident Report dated 02/13/2023, however the incorrect medication administered to the eye, was prescribed to the same resident, and the medication was for the ear. The incident was resolved as Substantiated on 05/23/2023 and cleared as of 05/25/2023. The LPA could not interview residents or reporting party due to the fact that the complaint did not provide names. Based on the information obtained through record review and interview, on the allegation that staff mishandled the resident’s medication, the allegation is deemed Unsubstantiated at this time. Staff did not administer medication as prescribed. On the allegation that Staff did not administer medication as prescribed; it is the concern of the reporting party that they were told that facility staff had administered the wrong medication (ear drops) to a resident (unknown). To investigate the allegation the LPA reviewed the facility’s medication data and searched for ear drops (Otic agents), conducted along with the facility’s director. The data search did not yield the medication stated by the reporting party as being the wrong medication. The medication is not part of the list of medications being administered by staff to residents. The director informed the LPA that the facility had self reported on a similar incident through an Incident Report dated 02/13/2023, however the incorrect medication administered were not ear drops. The incident was resolved as Substantiated on 05/23/2023 and cleared as of 05/25/2023. The LPA could not interview residents or reporting party due to the fact that the complaint did not provide names. Based on the information obtained through record review and interview, on the allegation that Staff did not administer medication as prescribed, the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.