complaint·August 29, 2022

The investigation revealed the following: Regarding allegation: Staff member mismanages residents' medication. It is alleged staff administers the residents’ medication too early and it conflicts with the residents’ last medication doses. Interviews with residents revealed 3 out of 6 residents interviewed stated to be receiving medication at the times provided and that it does not interfere with their other doses. 1 out of 6 residents stated to not take medication. 1 out of 6 residents was unable to be interview due to cognitive skills and 1 out of 6 residents refused to be interview. Interviews with staff revealed 4 out of 4 staff stated medication is provided to the residents for each dose according to the prescription. Administrator stated that morning dose is provided to residents between 7:30am - 8:00am, Noon dose is provided between 11:30am - 12:00pm, Evening dose is provided between 4:30pm - 5:00pm and Bedtime dose is provided between 7:30pm - 8:00pm. LPA Flores reviewed medication sheets for R1,R2,R3,R4,R5,R6 did not observed any medication listed that will interfere with other medication provide to the residents based on the doses or times. Facility last provided medication training to S3 and S4 on 8/21/22 and S2 vocational nurse license expires on 11/30/22. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Regarding allegation: Staff failed to meet residents' needs. It is alleged the facility doesn’t provide masks to residents/staff members and doesn’t enforce masks at the facility. Interviews with residents revealed 4 out of 6 residents stated staff wear a face mask at the facility and provide a face mask when needed and facility is meeting their needs. 1 out of 6 residents was unable to be interview due to cognitive skills and 1 out of 6 residents refused to be interviewed. Interviews with staff revealed 3 out of 4 staff stated facility provides face mask for staff and residents and 1 out of 4 staff stated not to be sure if facility continues to provide face mask for staff or residents. LPA Flores observed administrator maintains mask at the facility, staff were observed wearing a face mask during the tour of the facility. No further details were provided in the complaint description regarding the needs of the residents not being met. Based on interviews conducted and observations made, there was insufficient evidence to prove the allegation(s).Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Exit interview was conducted with Lydia Pabion - Administrator and a copy of this report was provided.