complaint·December 6, 2023

Regarding the allegation: Facility staff are not ensuring that resident takes their medications while in care. It was alleged that due to facility staff not properly assisting Resident #1 (R1) with their self-administration of medication, led to R1 not taking their medications. Interview with the Administrator revealed that R1 has been having feeling depressed and R1 disclosed to the Administrator that R1 in the past has spit out R1’s medication instead of ingesting it. The Administrator explained that immediately after hearing R1’s statement, the Administrator informed R1’s responsible person and R1’s primary health clinic. The Administrator stated that she also informed R1’s therapist and R1’s case manager regarding the incident. The Administrator explained that staff dispense R1’s medication and hand it to R1 in a small cup, along with a cup of water and staff stay to supervise R1 until R1 takes their medication. The Administrator stated that staff have not witnessed R1 spit out medication. Interview with Staff #1 (S1) revealed that staff do stay with R1 to supervise R1 take their medication. Interview with R1 did not reveal any concerns regarding staff not properly assisting with R1’s self-administration of R1’s medication. R1 did not voice any concerns regarding staff and stated that staff supervise R1 when taking medication. Additionally, interview with R1’s therapist on 12/01/2023, revealed that the facility staff and Administrator are constantly in contact with R1’s health clinic and psychologist. R1’s therapist stated that facility staff and Administrator have been cooperative and helpful regarding R1’s care and supervision. During the time of the visit, R1, R1’s family member, R1’s therapist, S1 and the Administrator held a meeting regarding R1’s care and current medication, and no additional issues were raised during the meeting. Interviews with multiple residents did not reveal issues regarding staff not properly assisting with residents’ medication. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.