Complaint·June 4, 2025

The investigation revealed the following: Allegation: Staff mishandle the resident’s medications On 6/4/25, LPA Shirley reviewed R1’s Medication Administration Record, (MAR) for May 2025. LPA Shirley observed that every medication listed was administered during the correct time frame. LPA Shirley reviewed list of medications for frequency and did not observe any specific times for medications listed. During the tour to the Medication room, LPA read every medication for instructions and did not observe any specific time for administration. Per review of R1’s file and interview with the Director of Resident Care, there were no orders nor request for medications to be given at a specific time. LPA Shirley interviewed staff 1 – staff 11 (S-1 – S-11). LPA asked, does staff mishandle resident’s medications. Of those interviewed 11 out of 11 stated no. LPA interviewed resident 1 – resident 10 (R-1 – R10). LPA asked, does staff mishandle your medications. Of those interviewed, 9 out of 10 answered, no and 1 answered yes. Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. 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. No deficiencies were cited for these allegations. An exit interview was conducted and a copy of this report was provided to the Director of Resident Care, Daisy Ceballos.