complaint·April 2, 2026

Investigation revealed the following: Regarding allegation, Staff did not distribute resident's medication as prescribed, it was alleged that on 3/20/2026 staff distributed the wrong medication (pill) to R1 and that afterwards resident had a reaction. interviewed Administrator and staff denied the allegation. They stated that they provide residents with their medications as prescribed. They stated no medication error or medication reaction reported for R1 or other residents and there is no history or documentation that there was a reaction for any residents. Interviewed staff stated that it is essential to follow the established safety protocol to ensure each resident receive the correct medication. They stated they carefully check medication labels with the resident's MAR and document immediately after giving the medication. Interviewed Administrator and staff indicated that facility utilized QuickMar program for medication management which requires staff to select the medication pass time and the specific resident and displays the resident's photo along with only medications scheduled for that time, ensuring accurate administration. Resident interviews revealed that staff provide them with their prescribed medications daily on a timely manner. Interviewed residents stated that the staff didn't provide them with the wrong medication and indicated they have not had any issues/concerns regarding this matter. Interviewed residents indicated they have never had any reaction from the medications and have not heard other residents complaining about their medication not being administered as prescribed by the doctor and because of that they had a reaction. LPA reviewed five random residents Medication Administration Records (MAR) including R1's for the months of March and April 2026 and observed that their medications including PRNs to be documented properly and given as prescribed. Records reviewed did not show any past or current issues regarding medication being given out to the residents incorrectly. Documentation reviewed and interviews conducted with staff and residents do not corroborate this 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 Exit interview conducted and a copy of this report was provided to Administrator.