Complaint·January 19, 2024

Investigation revealed the following: Regarding allegation, Staff are not maintaining a complete record for resident , it is alleged that medication logs are not properly updated and staff are not tracking the date and time of medication distribution so there is no way of knowing if resident(s) are receiving their medications. Facility allegedly only maintains MARs for some medications and they are incomplete with missing information and the the staff need assistance with organizing their medication records. Interviews conducted with Assistant Assistant Anna Rempel and S1-3 revealed that when medications are given to residents, staff initial each resident MARs for each medication and for each dosage. Staff stated that if a resident refuses to take their medications or are not at the facility due to being out or in the hospital the MARs are completed to indicate why the resident did not take their medications and proper reporting is done to any applicable agencies such as CCLD and other programs. Staff stated that the medications are given to residents as prescribed by the doctor. They stated that if a medication has to be taken with food they ensure that the medications are given to them with their meals. Interviews conducted 8 out of 8 facility residents revealed that they do not have any concerns regarding medication management and indicated that they receive their medications at the appropriate times that they have to take them as prescribed by their doctor. LPA reviewed R1-8's MARs and observed that MARs were properly completed by facility staff after medication administration at the time of LPA visit. LPA reviewed 3 staff files that assist with medication and each file had the required medication administration training documented in their personnel files. LPA observed staff as they were administering medications to facility residents and did not observe anything of concern. LPA review of R1's records revealed that R1 was being given only the medication that was prescribed to them and MARs was properly completed at the time of the visit. LPA also reviewed R1-8's Centrally Stored Medication and Destruction Records and observed the forms to be properly completed. LPA toured medication room and did not observe anything of concern. Based on interviews conducted with facility staff, facility residents, LPA review of records and observations, there was not enough supportive evidence to concur with the reported allegation. For allegation, Staff do not dispense resident’s medication as prescribed , it is alleged that the facility staff are not giving facility residents their medications and due to that R1 was acting "bizarre" and was confused as to whether they received their medication(s) on 01/11/24. It is also alleged that the facility has had ongoing issues with medication discrepancies. Interview conducted with Assistant Administrator Anna Rempel revealed that facility staff properly administer resident medications at their appropriate prescribed times on a daily basis. Interviews conducted with S!-3 revealed that they administer and give residents their medications daily as prescribed by the doctor. Interviews with 8 out of 8 clients revealed that they get their medications on time everyday and that staff make sure that they take their medications. LPA review of R1-8s MARs revealed that medications have been given to clients. LPA also reviewed R1-8's Centrally Stored Medication and Destruction Records and observed the forms to be properly completed. LPA did not observe R1 to appear as confused during the interview. Based on interviews conducted with facility staff, facility residents, and LPA review of documents there was not enough supportive evidence to concur with the reported allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview held. A copy of the report was provided to Assistant Administrator Anna Rempel.