complaint·January 15, 2025

R1 added when they asked why, staff replied it is because they asked specifically for sourdough and they only had a few slices. All other residents stated they are not served expired foods or moldy bread. During interviews with staff, all staff stated they do not recall the incident and do not serve expired foods or moldy breads to residents. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff did not administer medications as prescribed. It was alleged that staff do not administer medications on time. To investigate the allegation, LPA requested documents at around 9:30a.m., interviewed four staff from 10:30a.m. to 11:30a.m. and nine (09) residents from around 11:30a.m. to 1:00p.m. A review of Resident #2’s (R2) Medication Administration Records lists all medications, however, there are many empty spaces. When staff were questioned about the blank spaces, they stated it is a system error they have not been able to fix it, and the meds were given on those dates. The records also have several “refused” and “away” indications for medications. During interviews with residents, R1 and R2 stated facility does not give two (02) of the medications to R2 during food as prescribed. R1 and R2 added that one (01) of the MedTechs refused to give R2 medications while they were in R1’s room. During interviews with staff, Staff #2 (S2) stated they give R2 their medications as prescribed but at times R2 either does not wait for the medications to be given or refuses medications entirely. S2 added, R2 is sometimes away without prior notice. All other staff stated, to their knowledge, residents are being given their medications as prescribed. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards were noted during the visit. Exit interview was conducted and a copy of the report was issued.