Complaint·July 7, 2021

The investigation revealed the following: In regards to allegation – Facility staff mismanaged resident’s medication resulting in hospitalization in December 2020. Administrator Reese denied mismanaging residents’ medications. She stated that every time residents take their medication, it is marked on the medication log. If a resident refuses to take the medication, the reason will be noted on the back of the log. LPA Chan reviewed Resident #1’s (R1) Medication Administration Record (MAR) from October through December 2020 and did not find any discrepancies. Per Administrator and Staff, R1 was medication compliant and had taken all the medications prescribed by the physician. During the visit today, LPA interviewed 4 residents who all stated that the staff are nice and help with their needs. 2 out of the 4 interviewed are taking medications and both stated that they take their medications daily. 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 exit interview was conducted and a copy of this report along with appeal rights were given to the Administrator.