Complaint·December 2, 2022

On 12/2/22, Licensing Program Analyst (LPA) M. Yang conducted an unannounced initial 10-day complaint visit. LPA introduced self and requested to meet with the Administrator. LPA met with Candice Moses, Interim Executive Director and explained the purpose of visit. During the course of the investigation, the department reviewed records and conducted interviews. Based on interviews conducted, R1 self-managed R1’s own medication until a new physician’s order and medication was received at the facility. After which, staff began administering resident’s medications as order. Based on interviews conducted, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Interim Executive Director.