complaint·September 27, 2025

It was reported that med-techs leave the residents medications out in the caregiver office with the door open. Staff interviewed reported that if any medication is found on the floor it is picked up and taken to the medication room to report, record and properly disposed. Staff interviewed did not report any issues with missing medications. Two randomly selected residents medication was audited and found to be accurate in remaining quantity during initial visit. Seven (7) out of seven (7) residents interviewed reported that the medication room is kept lock and never unattended. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Staff does not ensure medications are kept centrally stored and secured at all times” is deemed UNSUBSTANTIATED at this time. Regarding allegation “Licensee allows unqualified staff to dispense medication to residents in care”: Information was received that caregivers who are not qualified and trained are asked to dispense medications to the residents. LPA reviewed staff training records and observed that the designated staff handling residents medication have completed the required training to assist residents with medication. Staff interviewed reported that only the med-techs and nurses prepare and assist residents with medication. Medtech staff interviewed denied ever asking caregivers to pass medication to residents. Residents interviewed confirmed that the med-techs provide their medication and not a caregiver. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Licensee allows unqualified staff to dispense medication to residents in care” is deemed UNSUBSTANTIATED at this time. Regarding allegations “Staff do not ensure spoiled medication is properly discarded and Staff do not ensure sanitary practices are followed while dispensing medications to residents in care”. It was reported that medications are not properly discarded and the med-techs have unsafe and careless methods of dispensing residents medications. It was reported that the med-techs will stop and use the restroom and will bring the medication tray into the restroom with them. Staff interviewed reported that medication destruction procedures are followed accordingly. Staff reported that expired medication and discontinued medications are stored in the medication room in a bin and secured in a cabinet until it is picked up by the company. Regarding med-techs practicing unsafe and careless methods of dispensing medication – Staff interviewed denied taking medication trays in the bathroom. Residents interviewed reported that they have not seen med-techs take medication into the restrooms. Residents reported that medtech and caregiver staff have gloves on when providing assistance with care and medications. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Staff do not ensure spoiled medication is properly discarded” and “Staff do not ensure sanitary practices are followed while dispensing medications to residents in care” is deemed UNSUBSTANTIATED at this time. Exit interview conducted. A copy of the report was provided.