Complaint·December 9, 2025

(Continued from LIC 9099) While AD and R1 were in transit to PCP appointment, POA arrived at the facility and asked for R1's whereabouts and medications. Medications were counted and POA then left to meet R1 and AD at the PCP appointment at 10:30am. While at the appointment, POA told AD that POA would handle the PCP appointment and so AD, took the scheduled transport back to the facility. AD later learned from staff that R1 and POA returned to the facility after the appointment and packed R1's belongings and left. AD attempted to communicate with POA regarding why R1 was being moved but was unable to speak with POA. R1 resided at the facility less than 48 hours. LPA interviewed two of two staff members if Staff are not distributing resident's medications as prescribed. Two of two staff members denied this allegation. LPA interviewed two of two alert residents if medications were not being given as prescribed. Two of two residents denied this allegation. LPA interviewed one witness who could not confirm, nor deny allegation and had never met R1. LPA reviewed R1's Medical Assessment from 12/5/2025. R1 has diagnoses of: Family stress, hypertension, hypothyroidism and mild cognitive impairment with unknown etiology, as well as mild anxiety disorder. Per assessment, R1 is unable to administer own prescription medications. While at the facility, LPA counted all of R1's medications that were left at the facility. LPA compared tablet counts to bottle quantities listed. Based on medication count, medications were being given as prescribed. Based on LPA's record review, observations and interviews, the allegation that: Staff are not distributing resident's medications as prescribed is Unfounded. The allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with Administrator (AD) Reynaldo "Al" Augustin and copy of the report and LIC 811, were provided to the facility.