complaint·April 13, 2023

and law enforcement were notified. R1 was escorted back to the community early morning the next day. This incident was looked into by LPA Wendell Smith on 11/02/22, as the Department received an Incident Report (IR) from the facility. Based on LPA's review of R1's file, it was revealed that R1 is able to leave the facility unassisted. LPA Cava also reviewed R1's physician's report, assessment and needs and services plan. Review of R1's records reveal that R1 is ambulatory. R1 may be dropped off and later picked up by community van, leaving them unescorted for visits. Exiting does not present a hazard to R1, and does not require additional monitoring. Based on the information obtained, there was insufficient evidence to confirm that R1 requires a higher level of care. Therefore, the allegation is deemed Unsubstantiated at this time. Staff did not ensure that resident's medication were taken as prescribed: In regards to the allegation, it was reported that R1 grabs their medicine from staff, who is not able to confirm if medication is being administered as prescribed. LPA conducted interviews with the administrator and Staff 1 (S1), who deny the allegation. They acknowledge that R1 refuses to take their medicine at times, but that gets documented, and R1's physician gets notified. Both the administrator and staff add that R1 gets encouraged by staff to take their medicine, despite their refusal. Review of R1's medication log do not indicate discrepancies with medications. LPA observed documentation/record when R1 refuses medicine, and their physician was notified. In addition, LPA interviewed eight (8) of eight (8) residents, who confirm that their medication is administered as prescribed by their physician, with assistance by staff. Based on the information obtained, there was insufficient evidence to corroborate the allegation of staff failing to insure R1 is administered their medication as prescribed. Therefore, the allegation is deemed Unsubstantiated at this time.