complaint·April 11, 2025

Staff mismanaging resident’s medication(s). It has been alleged that staff are mismanaging R-1’s sodium chloride medication. Staff interviews revealed that staff made numerous attempts to contact R-1’s physician to have R-1’s sodium chloride medication discontinued (per R-1’s authorized representative request) and were unsuccessful. Interviewed staff indicated that R-1’s authorized representative was successful in reaching R-1’s physician and obtained an order to discontinue the sodium chloride medication in which facility staff discontinued administering since receiving this new order (discontinued on 01/24/25). Resident interviews revealed that staff do not mismanage medications. Interviewed residents indicated that staff provide their medication as prescribed. Interviewed residents indicated they have not heard anyone complain nor have any concerns pertaining to this matter. Interviews do not corroborate this allegation. Staff misplaced resident’s medication(s). It has been alleged that Atenolol medication for R-1 was provided to a med tech “last September” and it was misplaced. Interviewed staff indicated that staff do not misplace residents’ medications. Staff interviews revealed that Atenolol medication for R-1 was not received from R-1’s authorized representative. Resident interviews revealed that staff do not misplace residents’ medications. Interviewed residents indicated they have not heard anyone complain nor have any concerns pertaining to this matter. Interviews do not corroborate this allegation. Staff billing resident for medication not administered. It has been alleged that staff are billing R-1 for medication that is not administered. Interviewed staff indicated that the staff nor this facility are not involved with billing for medications as the billing comes directly from the pharmacy. Interviewed staff indicated that residents and/or authorized representatives are responsible for paying any medical/pharmacy co-pays directly to those entities and not to this facility. Interviewed staff indicated that the medication billed and received by the pharmacy is administered as prescribed. Staff interviews revealed they have not received any complaints pertaining to this matter. Resident interviews revealed that residents pay their own co-pays for medical and medication services directly to the providers and not this facility. Interviewed residents indicated they have not heard anyone complain nor have any concerns pertaining to this matter. Interviews do not corroborate this allegation. 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 conducted, appeals rights and a copy of this report was provided to Christina Matsumoto/S-1/Administrator.