Complaint·October 5, 2023

Per an interview with SNF staff revealed that R1 was discharged, with a prescription, that was sent to a local pharmacy. In addition, per SNF staff when medication is sent to the pharmacy, the medication will be delivered the same day if not the next day. Per an interview with the local pharmacy staff revealed that R1 did have a profile with them but no medication. LPA inquired as to why there would be a profile, but no medications. The pharmacy staff explained that “it could mean the medications were cancelled, transferred, or were never sent to the pharmacy”. During the initial complaint visit conducted on 8/8/23, LPA did not observe a facility file nor documents, to confirm which medications R1 was prescribed. However, it was confirmed that R1 was discharged from the SNF to the facility and the medication was sent over to the pharmacy. There was no other explanation provided from the Administrator Jamie, other than “no R1 was not given any medication at the facility as they were not a resident. A list of medications was not provided for LPA to review from the Pharmacy, due insufficient evidence the allegation of staff failed to administer residents medication as prescribed is 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(s) occurred. An exit interview was conducted and copy of this report, and appeal rights were reviewed and provided to Jamie Teng, Administrator.