complaint·July 19, 2024

The investigation revealed the following: Regarding the allegation: "Staff mishandled a resident's (R1) medication while in care". Interviews revealed that two (2) out of two (2) staff and eight (8) out of eight (8) residents have denied the allegation had taken place. Record reviews indicate that one of R1’s medications has two sets of administration records on file for August 2023. The first set of the medication was self administered on 08/01/23 and was discontinued on 08/02/23 and the second set of medication administration record indicates that the same medication was resumed, and administered on, 08/03/23 – 08/22/23. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Therefore, the above allegation is found to be Unsubstantiated . Regarding the allegation: "Staff did not provide adequate supervision to a resident". Interviews revealed that two (2) out of two (2) staff and eight (8) out of eight (8) residents have denied the allegation had taken place, R1 indicated that they do not have any issues with the supervision being provided by staff. Record reviews indicate that one of R1’s medications has two sets of administration records on file. The first set of the medication was self administered on 08/01/23 and was discontinued on 08/02/23 and the second set of medication administration record indicates that the same medication was resumed, and administered by staff, on the dates of 08/03/23 – 08/04/23 and was self administered from 08/05/23 – 08/22/23. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Therefore, the above allegation is found to be Unsubstantiated . Regarding the allegation "Staff did not seek timely medical attention for a resident". It has been alleged that it took staff 1 hour to respond to residents' medical emergency(ies)”. Interviews revealed that two (2) out of two (2) staff and seven (7) out of eight (8) residents have denied the allegation had taken place. Record reviews indicated the following: the facilities staff roster showed adequate number of staff present and staff records indicated that staff have been properly trained for the job duties at hand. Specificially, under the segments of first aid and fall-risk management. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Therefore, the above allegation is found to be Unsubstantiated . No deficiencies were cited. An exit interview was held with Helen Lee, Executive Director (S1), and a copy of this report has been provided.