complaint·September 13, 2022

Regarding allegation: Facility mismanged resident's medications. Executive Director Pamela was unable to provide R1's MAR as resident was able to administer and store own medications. During review of R1's physician's report, it was confirmed that R1 was in fact able to store and administer own medications. It was also discovered that R1 was prescribed a PRN (as needed) medication for 7 days. The medication was ordered and started on 2/26/22 at 8:34 a.m. and was to be taken until 3/5/22. During interviews conducted with R2-R7, (3) of (6) residents stated staff assist them with administering their medications and have never had an incident where they mismanaged the residents' medications. (6) of (6) residents stated they have no knowledge of residents stating that the facility mismanaged the residents medications. During interviews conducted with S1-S4, (4) of (4) staff stated they have no knowledge of an incident where the facility mismanaged resident medications. If they had knowledge, they would report it right away to Licensing, their physician, and the families. Regarding allegation: Staff did not administer medications per doctor's orders. During interviews conducted with S1-S4, staff always administer medications per doctor's orders. During interviews with R2-R7, (3) of (6) residents who are assisted by staff with administering their medication, stated that they have no concerns with staff not administering their medications per doctor's orders. (6) of (6) residents have no knowledge of an incident where a resident expressed that staff did not administer their medication per doctor's orders. Regarding allegation: Staff did not treat the resident with dignity. During interviews conducted with R2-R7, (6) of (6) residents state they have never felt like staff did not treat them with dignity. All residents interviewed stated that staff at the facility are great. (1) of (6) residents stated there is 1 resident they witnessed to be teased behind their back about their weight and "feels bad" about that occurring. Otherwise, staff are great to everyone else. During interviews conducted with S1-S4, no one has witnessed or has knowledge of other staff not treating residents with dignity. Al staff interviewed stated if they had knowledge, they would report it. Based on the interviews conducted, observations and files reviewed, there was not enough supportive evidence to concur with the reported allegation. 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 with Executive Director Pamela Junge and a copy of this report was provided.