complaint·May 21, 2025

Allegation: Staff mismanaged resident's medication The allegation alleges that resident’s medication is not properly logged or not logged in the resident file. LPA observed centrally stored medications secured in a locked medication cart. All medications were observed in their original packaging. From 11:51 AM to 12:32 PM, LPA reviewed Resident R1-R6’s Physician’s Orders and Centrally Stored Medications and observed the medication bubble packs are consistent with the dates and listed medications from the pharmacy and physician. LPA received and reviewed resident Medication Exception that indicates when, why, and who provided or withheld medication. LPA received and reviewed residents PRN Report that indicates the date and time a PRN was given, the strength, reason, result and who gave the medication. LPA received and reviewed the Staff training regarding medication administration and medication procedure regarding physician orders, documenting, and labels. LPA observed staff conduct 7 hours of medication training annually. During interviews with Staff S1-S4, were asked if residents receive their medications as prescribed, four (4) out of four (4) stated residents receive their medications as prescribed. Additionally, Staff S1-S4 were asked if there has been any mismanagement of medications, four (4) out of four (4) stated no, there have been no medication mismanagement and medications are provided as prescribed. During interviews with Residents R1, R3-R5, were asked if they receive their medication as prescribed, four (4) out of four (4) stated yes, they receive their medications as prescribed. During interviews with Resident R1, R2, and R5’s responsible party and/or family member W1- W3 were asked if their resident receives their medications as prescribed, three (3) out of three (3) stated their residents receive their medications as prescribed. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . LPA did not observe or cite any deficiencies during today's visit. An exit interview was conducted with Licensee/Administrator, Ivonne Meader, and Administrator, Elsa Roman, and a copy of this report was provided.