complaint·March 24, 2026

Facility staff did not ensure the resident's medication is being administered as prescribed And Facility staff mismanaged the resident's medication The department conducted a records review of resident's Medication Administrator Record (MAR) which showed that the facility administered the medication as prescribed. Therefore, the allegations facility staff did not ensure the resident's medication is being administered as prescribed and the allegation facility staff mismanaged the resident's medication is unsubstantiated. Facility did not provide the medication log to the responsible party as requested LPA reviewed messages sent between Resident #1(R1s) responsible party and facility Executive Director (ED). Per text messages on 10/25/2024, R1s responsible party received the medication log from the facility for R1. Therefore, the allegation facility did not provide the medication log to the responsible party as requested is unsubstantiated. Facility did not inform the representative of the missing medication The department conducted a review of Resident #1 (R1s) most recent Medication Orders from the Skilled Nursing Facility R1 previously resided at. The resident had four separate orders for the medication Vancomycin HCI Oral Capsule 125MG. One order was for 10 days with a start date of 10/08/2024. Another order was for seven (7) days and to be taken on Monday, Wednesdays and Saturday with a start date of 11/02/2024. The last two orders were for seven (7) days. One with a start date of 10/25/2024 and the other with a start date of 10/18/2024. The department cannot prove or disprove if the medications were started on those set dates and/or if the facility received those medications. Therefore, the allegation facility did not inform the representative of the missing medication is unsubstantiated. Based upon the information obtained during investigation, the above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted a copy of the report and appeal rights were mailed to the facility .