complaint·May 18, 2023

Allegation: Facility staff did not provide resident medication on a timely basis. It is alleged that the resident’s medication due between 4:00 -4:30AM was not provided to resident on 05/06/2023 between that time frame. According to the MAR review it was dispensed on time. 7 of 7 staff denied the allegations. 12/13 residents could not collaborate the allegations. One resident stated that staff can be late maybe 5 to 10 minutes but overall, most residents stated they get their medication on time. S3 stated S3 went to resident’s room at around 4:30AM to dispense R1 medication and did not see resident in R1 room, S3 Stated S3 heard water running in the bathroom and assumed R1 was in bathroom so S3 left to attend another resident. S3 stated S3 returned shortly after to R1 room but R1 was not there at the time. Shortly after that S3 got a call from S4 stating fire department was at facility. R1 stated R1 went down to the lobby to find out about R1 medications around 4:30AM and found no one at the front desk and the phone was vibrating and vibrating. R1 then called 911. At approximately 5:25 – 5:30AM incident was resolved, and resident received her medication within time frame allowed due to one hour window allowed. According to statement from R1 and S3, they missed each other. Allegation: Facility staff did not provide resident water to be taken with their medication. It is alleged that staff did not provide resident with water with her medication. 6/7 staff denied the allegations and stated that there is water in many areas of the facility. S3 stated that S3 did not have any water when she went from resident’s room down to lobby on 5/06/2023 and that S3 was asked by R1 for water and S3 stated S3 promptly went to the kitchen and grabbed an apple juice and provided it to client to take her medications. S4 collaborated this. 12 of 13 residents stated facility always has water available for them to take their medications. Although the allegations 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 allegations are UNSUBSTANTIATED. An exit interview was conducted with Administrator. A copy of this report was provided.