complaint·February 7, 2024

02/02/24 LPA interviewed ED regarding the above allegation, ED denied the allegation above stating that residents are separated, redirected, investigation is conducted, and additional support is provided. Ed continued to report that the facility has a zero tolerance policy for violence therefore if a assault occurs POA's are contacted immediately and asked to pick up the resident in question. On 02/02/24 LPA interviewed S1-S6 regarding the allegation above, 6 of 6 staff interviewed denied the allegation above stating that staff will separate residents, will talk to each resident individually, offer activities and will report the situation to upper management right away. On 02/02/24 LPA interviewed R3-R8 regarding the allegation above, 6 of 6 residents interviewed denied the allegation and reported feeling safe at the facility. On 02/02/24 LPA was unable to interview R2-R3 as R2-R3 where not in the facility, on 02/05/24 LPA was able to interview responsible party (W2) for R1, W2 reported there are no concerns at this time. On 02/06/24 LPA was able to interview R2, R2 denied having any altercations with R1. R1 was unable to provide details on incident in question. Allegation: Staff did not administer medication as prescribed. It is being reported that staff did not administer medication as prescribed. 02/02/24 LPA interviewed ED regarding the above allegation, ED denied the allegation above stating that medications are being provided as directed by Doctor. ED continued to report that there have not been any complaint regarding medications, however residents have complained about not being able to store medications in their rooms. On 02/02/24 LPA interviewed S1-S6 regarding the allegation above, 2 of the 6 staff interviewed denied the allegation reporting Doctors orders are being followed. 2 of 6 staff interviewed continued to report there is a 1 hour window where the medication can be administered 1 hour before or 1 hour after the documented medication time, 2 of 6 staff also indicated that some residents may be provided their medications first when a resident has an urgency. 4 of the 6 staff interviewed reported not they do not assist with medication administration. On 02/02/24 LPA interviewed R3-R8 regarding the allegation above, 5 of 6 resident's denied the allegation above and reported receiving medications daily and on time. 1 of 6 residents reported medication administration has improved but there are still issues that need to be fix. On 02/02/24 LPA conducted a medication review and did not observe any discrepancies, medication administrations, medication times and signatures were observed. on 02/05/24 LPA was able to interview responsible party (W2) for R1, W2 reported there are no concerns at this time. On 02/06/24 LPA was able to interview R2, R2 denied the allegation above and reported receiving medications daily and on time. 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. Exit interview conducted with Executive Director Michael Mendoza, and a copy of this report was provided.