complaint·September 2, 2025

Interviews with residents revealed 8 out of 8 residents stated they are being provided with their medications by Medication Technicians. 1 out of the 8 residents stated to have refused the medication in the evening but has been asked by med techs to take. Interviews with staff revealed medication is provided to the residents by the med-techs and it is only not provided when the resident refuses which is noted in their notes. Also the only other time a resident does not received medication is if the medication is not available due to the pharmacy not providing it. Medication review revealed medications are available for the residents, med-techs check mark their data system after providing the medication and are able to note if the resident refuses medication in the data system. Resident’s notes revealed the resident in question refused medication on two occasions. 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. Regarding allegation: Facility staff failed to provide assistance with activities of daily living. It is alleged staff did not provided resident with showers as schedule. Interviews with residents revealed 4 out of 8 residents do not need assistance with showers. However, staff assist them with other activities of daily living as needed. 4 out of 8 residents who require assistance with showers said they have received their showers as scheduled. However, 1 of the 4 residents, stated that they have requested a bed bath instead to an agency employee and not a facility staff, and was deny the request. Interviews with staff revealed residents are assisted with showers twice a week. Some residents are provided showers three times a week. Per staff, if a resident refuses a shower they are asked at least 3 times during that shift. If they continue to refuse, it is noted with the med-tech that they refused. If the residents request a shower on a different day, staff will provide the shower if they are available. Per documents reviewed resident in question needs full assistance with showers and are noted twice a week, no notes of shower refusal were observed. 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 . Regarding allegation: Facility staff retaliated against a resident . It is alleged staff retaliated against the resident by not assisting with showers due to resident not wanting to use the Hoyer lift. Interviews conducted with residents revealed 8 out of 8 residents stated staff have not responded in a retaliated manner in any situation. Per residents, staff are nice and assist as needed. Interviews with staff revealed, upon a resident refusing to shower. The staff communicate to the residents that if they are not showered the day of the scheduled shower, they may need to wait until the next schedule shower. However, they do make an effort to provide a shower if the resident had previously refused upon the residents’ request and staff have the availability during their shift. Per staff they will not respond to the resident in a retaliated manner. 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. The staff communicate to the residents that if they are not showered the day of the scheduled shower, they may need to wait until the next schedule shower. However, they do make an effort to provide a shower if the resident had previously refused upon the residents’ request and staff have the availability during their shift. Per staff they will not respond to the resident in a retaliated manner. 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 was conducted with Stephanie Funderburg and a copy of this report was provided.