complaint·July 17, 2024

The details of the complaint alleged that R1 was admitted to the hospital after the facility was unable to provide R1 with R1’s insulin medication for at least 5 days. On 07/17/24, from 11:00am-2:00pm, LPA interviewed staff (S1-S4) and residents (R1-R6) regarding the allegation. 4 of 4 staff denied the allegation that the Facility staff did not administer medication as prescribed. 4 of 4 staff interviewed stated that R1 did receive all medications as prescribed by R1’s doctor. Staff further stated that R1 received R1’s insulin injections the five prior days before the resident went to the hospital. R1 stated that R1 had self-administered R1’s insulin injection but that there may have been a problem with the Pen-Injector giving the proper amount of the medication. R1 stated that R1 did not blame the staff, it might have been a faulty Pen-Injector. R1 further stated that when the insulin was injected it looked as if the proper dose was being administered. LPA reviewed the Medication Administration Record (Dated: 06/01/24-06/30/24) for R1 and found that the resident self-administered R1’s insulin and it was witnesses by staff. LPA interviewed R1-R6 about the allegation and 6 of 6 residents that were interviewed denied the allegation that Facility staff did not administer medication as prescribed. All residents interviewed stated that the staff does administer their medication as prescribed by their physician and have not missed any doses of their medication. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Facility staff did not administer medication as prescribed. 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 . No deficiencies were cited. An exit interview was conducted with Richard Alvarenga, Memory Care Director, and a hard copy of this report was provided.