complaint·December 8, 2022

towards the residents. Staff's last personal training was provided on 10/21/22. During the interviews LPA observed several boxes the size of about 2 feet by 1 foot in bedroom #4(BR4) on the floor across from R5's bed against the closet. R5 stated boxes are orders place of personal items. No other boxes were observed in the facility. Personal Hygiene items are stored in closet. 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 . Regarding allegation: Staff are over medicating residents. It is alleged caregiver tried to get resident to overdose by giving excess medications. Interviews with residents revealed 3 out 6 residents state that are currently receiving medication. 2 out of the 3 residents stated that they receive their medication daily and staff provide the correct amount. 1 out of the 3 residents stated staff provides the medication daily and "sometimes, too much". 3 out of 6 residents were unable to answer due to cognitive skills. LPA Flores conducted a review of medication for R1, R5, and R6 all medications listed in centralized stored medication and destroyed record were observed in resident's medication individual box. No additional medications were observed. LPA randomly reviewed prescribed medication bottles for R5 and R6 to check the quantities according to date of prescription and date of the visit. The amount of the pills in each prescription bottle were noted to match the dates. Facility does not maintain a medication sheet to track daily giving medication. Per administrator facility will implement medication sheet. Medication training on proper medication storage and administration was provided to staff on 10/21/22. During medication review a letter from R5 was observed to request a medication be provided during the night for a as needed physician's order. 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 . Exit interview was conducted with Tina Arutyunyan administrator and a copy of this report was provided.