Complaint·February 9, 2026

Allegation: Staff mishandled a resident's medications. It is being alleged that medications were left sitting alone on a cluttered counter rather than being safely administered by facility staff. On 02/09/26 from 10:00 am- 12pm LPA conducted Interviews with R1-R10 regarding the allegation above. 8 of the 10 residents interviewed denied the allegation above and reported that staff watch them take their medications before exiting their bedroom. 1 of 10 residents interviewed reported handling their own medications and do not require staff to watch them take their medications. 1 of 10 residents interviewed confirmed the allegation above and reported they have found medications left in their bedroom, and reported that there have been times where staff will hand over the medication and walk away. On 02/09/26 from 1pm- 2:15 pm LPA conducted interviews with S1-S4 regarding the allegation above, 4 of 4 staff interviewed denied the allegation above and reported they watch the residents take their medications before leaving the room. On 02/09/26 LPA conducted an interview with W1 regarding the allegation above, per W1 there have not been any concerns with the care and assistance R1 is receiving. On 02/09/26 LPA conducted a review of R1's file, per the pre-appraisal dated:06/08/25, Physicians report dated: 03/01/23, and Service plan dated: 04/26/25 R1 requires assistance with medication administration. On 02/09/26 LPA and S1 conducted a review of R1's medications and Medication Administration Record (MAR) for December 2025- February 2026, during the review it was determined all medications were administered. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, and a copy of this report was provided.