complaint·April 18, 2025

CONTINUED ON FORM LIC9099 During the present visit, LPA requested the resident census. A review of the medication administration records, prescription orders, PRN dispensation logs and centrally stored medication was conducted for a sample of 8 residents on medication management along with an interview of the facility medication technician on duty. LPA additionally observed the lunch service being performed. Six resident interviews were also conducted during the visit. Regarding the allegation that Staff did not dispense medication to resident as prescribed , the following has been concluded: Based on interviews with staff members, review of the medication centrally stored in the medication room, review of medication administration records and resident interviews, no discrepancies between the amount stored in bubble packs and the quantities dispensed were evidenced to indicate staff failed to dispense prescribed medication timely. PRN doses are adequately being logged on sheets attached with the medication upon dispensation. Per facility policy, only doses not delivered per resident refusal or absence are being logged, with other doses assumed to be dispensed. A majority of residents interviewed stated they had no perceived issues with the assistance received for their medication self-administration Regarding the allegation that Staff did not provide residents with adequate food service , the following has been concluded: Based on staff and resident interviews along with a review of facility menus and observation of meal service in progress, it was observed that quantities and variety of food being provided were satisfactory. Residents interviewed confirmed that meal services are adequate in quantity. Seconds can be provided on demand, and accommodations are confirmed to be offered. Based on the present investigation, the allegations are found to be Unsubstantiated, meaning that 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. An exit interview was conducted and a copy of this report was provided to a facility representative.