complaint·April 4, 2023

At 9:47 AM LPA Velazquez along with Administrator O'Connor conducted a medication review for the 5 residents in care. The facility documented the resident medications utilizing the Centrally Stored Medication and Destruction Record where all of the resident medications were properly documented. All of the resident medications were properly labeled. LPA Velazquez reviewed resident records including Physician's Reports, Identification and Emergency Information, and Centrally Stored Medication and Destruction Records. Two of two individuals interviewed stated they only administer medications to residents per the doctor's orders and denied administering medication without a prescription. Based on the observations made by LPA Patricia Velazquez, interviews which were conducted and the records that were reviewed, 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 following allegations: Staff yell at residents, Staff speak to residents in a demeaning manner, Staff dispensed medication to a resident without a prescription, and Staff pulled resident in an aggressive manner are all deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Angela T. O'Connor and a copy of this report was provided at the time of this visit.