complaint·March 27, 2025

Allegation: Facility staff are not dispensing medication as prescribed. It is being alleged that R1’s medication is supposed be given in a powder form and not a cream. LPA observed that R1’s medication comes in both a powder and a cream, and according to the MAR’S has been consistently receiving the correct medication for her wound healing, which is documented on the MAR as being administered as a powder. toured the facility and while touring the medication room LPA observed medication is both in a powder and cream. On 03/27/2025 LPA reviewed facility records per medication administration log (and they are) MAR R1. On 03/26/2025 LPA conducted interviews with Staff #1- Staff #8 (S1-S8). Of those interviewed 8 out of 8 staff denied the above allegation. On 03/26/25 the department conducted interviews with Resident #1 – Resident # 6 (R1 -R6). Of those interviewed 6 out of 6 residents denied the above allegation Allegation: Facility staff are not safeguarding residents’ personal property. It is alleged that medical cards and documents were stolen from Resident #1’s (R1) room. On 03/26/2025 LPA Watson interviewed the Executive Director Nathaniel Venzon. During the interview Nathaniel Venzon stated that a resident reported items stolen but it was replaced during a move from one room to another. Staff offered to replace items not located. The department conducted interviews with Staff #1- Staff #8 (S1-S8). Of those interviewed 8 out of 8 staff denied the above allegation. On 03/26/25 the department interviewed Resident #1 – Resident #6 (R1 -R6). Of those interviewed 6 out of 6 denied the above allegation. Based on the information collected from the facility, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. While the allegation may be valid or have occurred, there is insufficient evidence to establish whether the alleged violation took place or did not. Therefore, the allegation is deemed unsubstantiated. An exit interview was conducted with the Wellness Director Brooke Lamotte and a copy of this report was given.