complaint·May 15, 2025

Investigation revealed the following: Allegation: Staff are not able to meet the resident's needs. Record review revealed four out of five residents have a complete Plan of Care/Needs and Services Plan. Four out of four resident interviews indicated that staff can meet their needs. LPA observed that all four residents was alert. Staff interviews indicated that they are able to meet the needs of the residents. Interview with S1 indicated that care services are based on the physician’s report and discussions with the residents and their families. S1 also indicated that care services are adjusted based on staff observations of the residents and discussions with the residents and/or their families. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Allegation: Staff are not following doctor's orders when administering medication Record review of May’s Medication Administration Records and Physician’s Medication Profile are consistent and medication is administered according to doctor’s orders for four out of four residents. Four out of four resident interviews indicated that staff has not made any medication errors. Three out of three staff interviews indicated medication is administered according to doctor’s orders. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were issued. An exit interview was conducted, technical assistance provided, and a copy of this report was provided to the Area Manager Irene Formentera.