complaint·July 15, 2025

caregivers to provide appropriate care. Staff interviewed have been employed at the facility for over four years and reported no prior issues related to medication administration. Residents interviewed also stated that staff consistently administer medication without any problems. LPA reviewed staff medication training records, which were observed to be current and up to date. Based on interviews conducted and documentation reviewed, there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation # 2: Staff did not administer medications as prescribed. To investigate the allegation, on 07/09/2025, from 10:00 a.m. to 11:00 a.m., (LPA) interviewed the complainant and reviewed the complaint. On 07/10/2025, from 9:15 a.m. to 1:45 p.m., LPA conducted an unannounced visit to the facility, interviewed staff and residents, and reviewed resident and facility documentation. Information obtained during the investigation revealed that resident #1 (R1) was admitted to the facility on 06/22/2025 under hospice care due to a terminal illness. According to the resident’s medication records, staff administered R1’s medications in accordance with the physician’s orders. After five days at the facility, R1’s condition began to decline, prompting the physician to update the medication orders. Documentation reviewed from both facility/staff records and hospice records confirmed that staff continued to administer medications as prescribed by the attending physician. Additionally, residents interviewed by LPA reported receiving their medications without any issues. Based on interviews and a review of documentation, there is insufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of report provided to Administrator.