complaint·January 30, 2026

It was reported that sometime on or about 11/20/25, staff gave an unauthorized medication to resident #1. Staff interviewed denied the allegation and stated that they would never give any resident medication that is not prescribed to the resident. LPA asked staff if they ever gave any resident something that might look like medication and staff said no. Staff also reported that residents on medication management would only receive medications from the medtechs and no other staff. Staff interviewed reported that medication policy and procedures are that only medtechs dispense medication and all medications handled by the facility require a doctors order. LPA interview total of eight (8) residents including resident #1 and all residents reported that they have never been offered any type of medication or vitamins from any facility staff. Residents on medication management stated that staff dispense prescribed medications only. Resident #1 manages own medications. All residents interviewed were observed very alert and able to communicate well with LPA. 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 allegation “Staff did not dispense medications as prescribed” is deemed UNSUBSTANTIATED at this time. Regarding allegation “Staff did not meet resident's hygiene needs”: Information was received that resident #2 was observed to have something dark under fingernails, most likely feces and staff was unable to remove it with a wet wipe and did not try washing resident’s hands. Staff interviewed reported that residents requiring assistance with toileting and showers are always assisted with hygiene care. Staff reported that residents are not left unclean or unsanitary. LPA conducted interview with resident #2. Resident #2 is alert and able to communicate needs. Resident #2 did not report any issues with staff. Resident #2 stated that staff assist with daily living activities and medications. Resident #2 was satisfied with the services provided by staff. Random residents interviewed also expressed satisfaction with the care team services. Eight (8) out of eight (8) residents interviewed reported no issues with care services provided by staff. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff did not meet resident's hygiene needs” is deemed UNSUBSTANTIATED at this time. Exit interview conducted. A copy of the report was provided.