complaint·July 14, 2023

Based on the LPA's investigation, the investigation revealed the following. For Allegation – Staff are mismanaging resident medication. Interviews conducted with S#1, S#2, S#3, S#6 - S#10, communicated that they follow the procedures they were taught by the facilities video training's and the job training. If at anytime the residents medication is refused by resident, staff will document it on the 24 hour communication log and advise their PCP & responsible party about the refused medication and destroy the medication. If the medication is spilled by staff or resident, they must call the pharmacy and get a one day replacement medication, documented in the 24 hour communication log and dispose of medication. S#2, S#3, S#6, S#7, S#8, S#9, S#10, all deny spilling any residents medication. S#4 & S#5, also communicated that they have never seen any staff member spill residents medications. Interviews with R#1 - R#10, communicated that the staff has never mismanaged their medication, they all know what they are doing. They always get their medication on time, never missed, or have staff member refuse them their medication. LPA reviewed the facility Resident Care Manual were it states how refused and/or spilled medication should be processed. Based on the review of the Resident Care Manual, the staff are following the procedures for refused and/or spilled medication. LPA reviewed staff medication training's, they have all completed the training's. The interviews and records reviewed do not concur with the above allegation. 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 An interview was conducted with Yvette Lem - LVN - Director of Care Services, and a hard copy of report was provided.