complaint·July 20, 2021

The other staff interviewed does not pass out medication so staff did not know if R1 was taking medications or not. Staff who passed medication to R1 indicated they often encouraged R1 to take the medication while observing R1 to ensure that the pills were swallowed. R1's medication refusal began as early as 6/5/21 for some of the medications as documented on the Medication Administration Record (MAR) logs. At the same time, staff started noticing the increased aggressive behaviors from R1. Staff stated they immediately informed the LVN and Assistant Administrator. Per Assistant Administrator, the doctor was contacted when R1 started refusing to take the medications. She also called to PET Team to evaluate R1's aggressive behavior when it occurred more frequently, however, the team determined R1 did not qualify as a danger to oneself or others so R1 remained at the facility. The next day, R1 continued to refuse medication and the behavior continued, which led to staff contacting the police. The police came to the facility and placed R1 on a 5150 hold. LPA interviewed R1's son who indicated that the facility called to informed him that R1 refused to take some of the medications which was possibly the cause of R1's outbursts. He was also aware that the physician was contacted and understood that the facility cannot force the medication on residents. It was determined that staff assisted R1 with medication and also took the appropriate steps when medication were refused. 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. An exit interview was conducted. A copy of this report and appeal rights were discussed and left with the Administrator, Peter Babaian, whose signature on this form confirm receipt of these documents.