complaint·July 8, 2021

became very upset and started yelling at her and asking where was her medication. S2 stated that she told R1 that it could be a mistake made with the pharmacy and that she was going to check and see what happen. Staff 3 revealed during her interview that staff 2 told her that R1's medication was missing. Staff 2 and Staff 3 stated that the pharmacy made an error in the bubble packaging and R1's medication was missing for that morning. Staff 2 and 3 stated that they gave R1 the morning medication that was supposed to be for the next morning until they contacted the pharmacy. Staff 2 and 3 stated that they contacted the pharmacy about the error and the pharmacy provided staff with a letter due to the error and gave additional medication for R1. Staff 2 and 3 stated that R1 received her medication within the same hour. Staff 4 and Staff 5 revealed during their interviews that they do not handle the medications. Staff 4 stated that she observed R1 yelling at staff 3. LPAs interviewed Resident 1 -8. Resident 1 stated that she went down to take her morning meds and staff told her one was missing. R1 stated that staff starting making excuses and she got upset. R1 stated that she received her morning medication a few hours later. R2-R8 stated that they receive their medications on time and did not have an issue with their medications. R7 handles her own medication and doesn't require assistance and R8 does not take medication. For Allegation:(Staff intimidated the resident.) It is being alleged that staff intimidated R1. LPAs interviewed Staff 1- 5 about the allegation. Staff 1 stated that R1 is rude and yells at staff when she becomes upset. Staff 1-5 stated that R1 calls them names and makes a lot of complaints. R1 revealed during her interview that staff 3 is intimidating. LPA asked how is she intimidating and R1 stated that S3's clothing and hair is intimidating. R1 stated that S3's demeanor is intimidating. Residents 2-8 revealed during their interviews that they like living in the facility and staff are nice. Residents 2-8 stated that they do not have any concerns with staff. Resident 2-8 stated that they have not experienced staff being rude to them. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. A copy of the report was giving to Executive Director, Terri Weitzman,