complaint·December 9, 2025

Regarding allegation: Staff did not dispense medications in a timely manner . It is alleged that staff did not give residents the morning medication in a timely manner even though that R1 was in the room. R1 confronted staff and staff denied seeing R1 in the room. The investigation reveals the following: interview with staff revealed that seven (7) out of seven (7) staff denied the allegation above. Staff described the process that staff follow to give out residents medication. Staff described that there is a set period on each morning, noon, evening, and bedtime where staff will go to residents’ rooms to give residents the medication. Med Tech will go to dining room to find residents to give them their medication. If not found, Med Tech staff will go to resident’s rooms. If resident is not found, Med Tech staff will inquire from caregiver if caregiver has seen residents. Staff indicated that staff makes an effort to locate residents in the facility and sometimes even outside the facility across the street in the park. If resident is still not found, the proper documentation is done and administrator is informed so that the follow up calls can be made. Interview with residents revealed that eight (8) out of ten (10) residents denied the above allegation. The residents indicated that staff always find them in the facility to get their medication. R10 indicated that in some instances staff has gone across the street, in the park, to give R1 medication. LPA reviewed five (5) out of five (5) resident MARs records with their respective medication and observed that all missing dosage was properly documented for medication refusal, out of facility for appointments or other activities. LPA did not observed any health and safety risk from medication dispensing. Based upon the investigation, resident and staff interviews, document review, and LPA observations, the facility is dispensing medication in at timely manner within each medication period throughout the day for residents in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview held with Jacqueline Cortez. A copy of the report was provided.