complaint·July 3, 2025

Staff mismanaged residents’ medications. Throughout the course of the investigation, LPM and LPA interviewed staff and residents. Additionally, LPA reviewed electronic medication administration records (eMARs), medication orders, and resident records. All eMARs reviewed were complete. EMAR entries matched with current physician orders. Additionally, resident notes detailed communication with primary physicians regarding medications and medication changes. Based on LPAs interviews and review of documentation, the preponderance of evidence standards was not met, therefore, the above allegation is found to be UNFOUNDED . Staff spoke to residents in an inappropriate manner. During residents’ interviews, residents stated that facility staff are meeting their care needs and did not express any concerns with privacy or dignity. Residents’ interviews indicated that staff were treating all residents with dignity and respect and did not express any issues. Three out of three resident’s interviews indicated their satisfaction with staff’s professionalism and did not express any issue with staff were being rough with their care or speaking to them in any inappropriate manner. Based on facility tour, interviews and observation, the department found this allegation is to be UNFOUNDED. Based on the investigation, the preponderance of evidence standards has not been met. Therefore, the above all allegations is found to be UNFOUNDED . A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. Exit meeting conducted. A copy of this report has been provided to facility.