complaint·September 26, 2024

professional. No interviews revealed that an employee, who is not a nurse, is currently performing insulin administration. Allegation: Staff are not being properly trained LPA reviewed 8 staff files. These files were a mixture of care staff including nurse, med tech, and caregivers. LPA observed all the required documents in staff files. Additionally, LPA observed the required annual and continuous training for staff. No files revealed that staff were working independently prior to receiving the required training. Facility also provided in-service training which are conducted as needed. Allegations: Staff did not meet the resident’s medical needs while in care, Staff mishandled the resident’s medications. LPA interviewed staff who denied having any knowledge of a resident receiving a duplicate dose of medications. Staff stated that they follow doctor’s orders in regards to medications. LPA reviewed incident reports submitted to Licensing and did not identify any which discuss a resident’s medication being mismanaged. Staff did not properly discard expired medication. LPA interviewed staff who all described the proper process to destroy medications. Staff acknowledged that non-narcotics are destroyed with two employees. Narcotics are destroyed with the Administrator and one other employee. LPA reviewed centrally stored and destruction logs which were filled out appropriately. Based on information obtained, LPA finds the allegations to be 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 this report was provided to the facility.