Complaint·July 12, 2025

Regarding the allegation, “Resident has not received treatments that were ordered by her doctor,” it is being alleged that Resident #1 (R1) is being neglected by staff because R1 did not receive R1’s medication infusion. Record Review of R1’s Admission Orders (dated 09/02/21) does not include the medication infusion. R1’s Hospice Care Plan (dated 01/21/22) does not include medication infusion. R1’s Medication Destruction Record (dated 02/24/22) does not include medication infusion. Interview with Witness #1 indicated that R1 received medication infusion through a Home Care agency. Witness #2 indicated that there were multiple orders, including in November and in December. Seven out of seven staff interviews (S1 – S7) indicated they have not received resident complaints about being neglected for not receiving home health services such as infusions. Four out of four residents (R2 - R3, R7 - R8) indicated they receive their home health and/or hospice services and have no complaints about services. R4 indicated that they were independent and manage their own medication. R10 indicated that R10 receives non-medical care services according to the agreement but manages own medication. Three out of three residents (R5 - R6, R9) indicated that they do not receive home health and/or hospice services but receive their medication as prescribed by the doctor. Regarding the allegation, “Resident has not received treatments that were ordered by her doctor” based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiencies cited. An exit interview was conducted and a copy of this report was provided to the Memory Care Director Alicia Ballard.