complaint·May 29, 2025

Based on interviews with 5 out of 5 staff stated residents get their medications as prescribed. Former Executive Director Myra Aragones stated the facility does not withhold resident's medications and notates when resident's refuse medications. Current Executive Director Christian Otbo stated has not heard of any issues with residents receiving their medications as prescribed. Review of R1's medication administration record indicated resident received their medications as prescribed. Interviews with 6 out of 8 residents indicated they receive their medications as prescribed. The remaining 2 residents manage their own medications. It was alleged that due to R1 waiting for 2.5 hours for their medication staff did not treat resident with dignity and respect following the medication incident. Based on interviews with 6 out of 6 staff stated they treat residents with dignity and respect. Staff stated they are aware and trained on resident's personal rights. Interviews with 8 out of 8 residents stated they are treated with dignity and respect by all staff. It was alleged the facility is charging for services that were not agreed upon at admissions. Per interview with former Executive Director Myra Aragones stated that the facility can reassess residents based on a change of condition and provide the services currently needed. Myra stated as residents age they may have change in condition so the facility will provide assistance with Activities of Daily Living (ADLs) as needed. Interviews with 8 out of 8 residents stated they cannot specifically remember their care assessments but were present for conversations about their care. Therefore based on the preponderance of evidence through interviews and records reviewed the allegations medications not being administered as prescribed, staff did not treat resident with dignity and respect and facility is charging for services not agreed upon admission 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. No deficiencies cited. An exit interview was conducted and a copy of this report and confidential names list was provided.