complaint·September 30, 2024

(5) of (5) staff denied the allegation. Staff indicated that they have not witnessed any alterations to the prescribed medication nor heard of any other staff altering medications in a manner different from the way it was prescribed by the doctor. All medication have been administered according to the doctor's orders, and no unauthorized modifications have been made. (6) of (6) residents denied the allegation. Residents indicated they have not experienced any similar effects or issues with their prescribed medication. All residents confirmed that their medication have been administered as prescribed by their doctors without any changes. LPA Reyes contacted the pharmacist regarding (3) residents who are taking similar medication. The pharmacist confirmed that, despite different manufactures, the medication is the same brand and contains the same active ingredients. LPA Reyes observed and examined with S2 the alleged victims medication and found it to be sealed and with no signs of alteration. The investigation revealed the following: regarding the allegation "Staff do not ensure medications are dispensed as prescribed", it is alleged that facility staff are dumping medication out and replacing medication with another substance. (5) of (5) staff denied allegation. Staff have not witnessed nor heard of any staff not administering resident's medication as prescribed by a physician. All medication have been administered according to the doctor's orders, and no unauthorized modifications have been made. (6) of (6) residents denied the allegation. Residents have indicated they do receive their medication as prescribed and have not experienced any changes. LPA Reyes reviewed the alleged victims Mars and received confirmation from alleged victim that have stopped taking medication. The investigation revealed the following: regarding the allegation "Staff do not ensure resident is provided with assistance for medical and dental appointments " , it is alleged that medical documents are being taken from their room which in return is causing the resident to miss medical appointments. (5) of (5) staff denied the allegation. Staff indicated that after a visit is conducted by the dentist their paper work is then given to a staff for filing. If a resident does request a copy of recent visit a copy is provided. LPA Reyes spoke with (2) employees of Onsite Skilled Dental Care and confirmed that after a visit is completed paper work is provided only to a staff member. (6) of (6) residents have denied the allegation. Residents have indicated that they do not receive paper work from the dentist that it is provided to a staff member. The medical paper work they have obtained has not been taken from their room. It was reported to LPA Reyes that the alleged victim does have some memory issues. LPA Reyes reviewed alleged victim's LIC 602A and they do suffer from cognitive impairment. --Continued LIC 9099-C-- Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview was conducted with Administrator Rachelle Reyes and a copy of this report was provided.