complaint·September 29, 2023

Susie stated they did an medication audit and were able to determine the medications were not missed but refused by residents and not properly documented by staff. Susie stated that staff has been retrained on medication refusal and how to properly document. Susie reported the physicians' of the residents were notified and no residents had adverse reactions. During the visit LPA Mendivil observed a locked medication cart in Memory Care and a secured medication room. LPA observed a cabinet above med-tech desk which is not locked but contains paperwork and is secured by either a med-tech present or a locked door when staff is not in the room. Based on interviews with 1 out of 1 staff indicate they received updated training on how to mark refusals in their system and denied residents missing medications due to their errors. Based on interviews with 3 out of 4 residents indicated they receive their medications without issue and are able to refuse medications if they want. The 4th resident stated that they did not receive medications. Therefore, based on evidence through records reviewed and interviews the allegations Facility did not ensure residents receive their medications and Facility did not secure medication from residents in care are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted and a copy of this report was provided.