Complaint·February 6, 2026

physicians report dated 3/19/2024, and updated appraisal/needs and services plan dated 1/20/2026 signed on 2/3/2026 electronically. LPA attempted to interview Staff Member 1 (S1), but they were unavailable. LPA conducted interviews with staff members 2-5 (S2-S5). On 2/6/2026 At 8:45 AM, LPA was able to conduct an interview with S1. LPA also interviewed resident 1-2 (R1-R2) and attempted to interview residents 3-9 (R3-R9) during the visit. Investigation revealed the following: Allegation 2: Staff did not administer medication as prescribed. LPA conducted interviews with staff members 1-5(S1–S5) and 5 out of 5 stated residents’ medications are not mismanaged and residents are given their medications as prescribed by their physicians. Additionally, LPA conducted interviews with residents 1 and 2 (R1–R2) and 2 out of 11 stated that they receive medication daily. When asked who gave their medication, they were both unable to provide details or names of staff members. LPA attempted to interview Residents 3 through 9 (R3–R9); however, they were sleep/unavailable during the visit. LPA conducted a random review of residents medication administration records (MAR) and obtained documentation for R1. The records revealed that 5 out of 5 files reviewed reflects that the staff are managing residents’ medication and administering medications as prescribed by their physicians. Based on the interviews, records reviewed and observations the Department found no evidence to support the above allegations. While the allegations may be valid or have occurred, there is insufficient evidence to establish whether the alleged violations took place or did not. Therefore, the allegation is determined to be Unsubstantiated . An exit interview was conducted where this report was discussed and provided to Irene Formentera at the conclusion of the visit with appeal rights.