complaint·January 12, 2022

Allegation: Resident fell while in care. During this investigation, LPA reviewed Resident #1 (R-1) and Resident #2 (R-2) files and obtained relevant documentation, interviewed Staff#1/Facility Administrator (S-1) and Staff #2 (S-2). LPA attempted to interview R-1 via telephone and was unable as R-1 did not understand LPA's interview questions. LPA also interviewed R-1's family member via telephone. LPA attempted to interview Resident #2 (R-2) and was unable as R-2 has Dementia. Staff interviews revealed R-1 did not fall while in care at this facility. Staff interviews revealed that R-1 resided at this facility from 12/18/2021 through 01/03/2022. Per Staff interviews, R-1 decided to move out of the this facility on 01/03/2022 and took belongings and medication. Interviews conducted do not corroborate this allegation. Allegation: Staff did not administer resident's medication. During this investigation, LPA reviewed Resident #1 (R-1) and Resident #2 (R-2) files and obtained relevant documentation, interviewed Staff#1/Facility Administrator (S-1) and Staff #2 (S-2). Staff interviews revealed Staff administered R-1's medication as prescribed and did not provide R-1 with another Resident's medication. Copies of the Medication Administration Record (MAR's) for R-1 and R-2 were provided for December 2021 through January 2022. LPA attempted to interview R-1 via telephone and was unable as R-1 did not understand LPA's interview questions. LPA also interviewed R-1's family member via telephone. LPA was unable to interview Resident #2 (R-2) as R-2 has Dementia. Interviews conducted and file review do not corroborate this allegation. Based on LPA's interviews conducted the preponderance of evidence standard has been met, therefore the allegation(s) are UNSUBSTANTIATED. Exit interview was conducted, a copy of this report and Appeal Rights were provided to S-1/Facility Administrator.