complaint·September 13, 2021

Interviews and records review revealed that the former staff in question was written up for various reasons but was not fired from the community due to mismanaging medication. Whereas additional interviews revealed that there was speculation surrounding the firing of a former staff member, sufficient evidence could not be obtained to validate such claims. The LPA conducted a medication audit with the assistance of the Director of Health Care Services at 3:23 p.m. The medication audit did not reveal any discrepancies or medication errors. Based on the investigation, there is insufficient evidence to support the claim that staff mismanaged medication. This allegation is deemed Unsubstantiated at this time. Regarding the allegation: Staff failed to follow reporting requirements It was alleged that unusual incidents involvement the mismanagement of medication was not appropriately reported to the Department. Interviews and records review surrounding the allegations revealed insufficient evidence regarding the claim that staff mismanaged medication. Records review revealed that on several prior occasions, the community has submitted Unusual Incident Reports pertaining to medication errors. As such, there was no indication that the community failed to report a medication error and staff understand the requirements as it pertains to reporting. Based on the investigation, there is insufficient evidence to support the claim that the staff failed to follow reporting requirements. This allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.