Complaint·September 4, 2024

The investigation revealed the following: Regarding the allegation, “Staff does not ensure resident is administered medications.”, it has been alleged that night staff do not provide residents’ their pain medication (M1) at night. Interviews revealed that five (5) out of seven (7) residents and two (2) out of four (4) staff have denied the allegation has taken place, in addition two (2) out of four (4) staff and resident one (R1) have indicated that R1 does receive M1 per physician's order. Record reviews revealed the following: R1's Medication Administration Records (MAR) indicate that M1 was ordered on 04/15/24 and that it is to be provided as needed (PRN) only, not on a nightly basis. R1's LIC602A, dated 12/29/22, indicates: R1 can "manage own treatment, medication, and equipment", is "able to follow instructions" and is "able to communicate needs". Furthermore, CCLD staff researched M1 via webmd.com. Research revealed that M1 "may sometimes cause addiction. This risk may be higher if you have a substance use disorder. " Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation that "Staff wrongfully evicted resident in care." it has been alleged that the facility does not provide thirty (30) days to residents during eviction. Interviews revealed that seven (7) out of seven (7) residents and all four (4) staff have denied the allegation has taken place. During this investigation, CCLD staff observed R1 is present at the facility. Record reviews indicates that there have been requests to collect missed payments from R1, but that no eviction notice has been issued. Based on the department’s record reviews, CCLD staff’s observations and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. There have been no deficiencies cited during today's visit. An exit interview was held with Maria Clarizze Punit, Administrator (S1) and a copy of this report has been provided.