Complaint·April 28, 2025

The investigation revealed the following: Allegation: Staff mismanaged resident’s medication. It is being alleged that a resident from Garfield Terrace #198602243 who was temporarily staying at this facility, did not receive their medications as prescribed while they were at this facility. It is also being alleged that this facility is not organized with the resident’s medications. On 02/05/25 between 10:30 AM and 11:30 AM, LPA interviewed S1-S2, and on 04/28/25 between 11:45 AM and 12:30 PM, LPA interviewed S3-S4. Based on interviews conducted, 4 out of 4 staff interviewed stated that they have not mismanaged any residents’ medication. 4 out of 4 staff interviewed stated that no resident’s medications from Garfield Terrace were mismanaged during their temporary stay at this facility. 4 out of 4 staff interviewed stated that the resident’s medication is always kept organized and readily available for distribution. An interview conducted with S1 revealed that R1 did receive their medications as prescribed. S1 stated that there were no MARs for the residents from Garfield Terrace during their stay. S1 stated that the facility staff from Garfield Terrace came with and provided the medications for each of their residents, and that they administered the provided medications to the residents as prescribed. On 02/05/25 LPA interviewed R1, and on 04/28/25 between 01:35 PM and 02:20 PM, LPA interviewed R2-R5. Based on interviews conducted, 5 out 6 residents interviewed stated they always received their medications as prescribed. 5 out 6 residents interviewed stated that the facility is organized with their medications and have not had an issue with their medications being distributed timely and as prescribed. 5 out 6 residents interviewed stated that they are not aware of a resident from Garfield Terrace not receiving their medications during their stay. 5 out 6 residents interviewed stated that they are satisfied with the services being provided to them at this facility. LPA conducted records review of the Medication Administration Record’s for the month of January 2025 for three (3) residents and observed them to be complete and in order and did not observe any discrepancies. Continued on LIC 9099-C Based on records review, interviews conducted and observations, LPA did not find sufficient evidence to support the above 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. No deficiencies were cited during this investigation. An exit interview was conducted with Assistant Administrator, Cesilia Torres, and a copy of the report was provided.