complaint·February 12, 2025

Based on LPA's observation and medication review, residents are receiving medication as prescribed by physician. Regarding allegation #2, R1 is the only resident who requires injections at the facility. An in home LVN nurse attends the facility three times a day to inject R1. LPA conducted 3 staff interviews. 3 out of 3 staff informed LPA they do not administer injections to residents. LPA conducted interview with in home nurse while at the facility and was informed they are the only person to administer injection to R1, LPA also observed in home nurse injecting R1 at the time of the visit. Regarding allegation #3, LPA conducted 3 staff interviews. 2 out of 3 staff informed LPA residents personal medical device is not used on other residents. 1 out of 3 staff informed LPA they are unaware which residents have a personal medical device. In home nurse informed LPA they are the one to use medical device on R1, and it is not used on any other resident. Regarding allegation #4, LPA observed centrally stored medications locked inaccessible to residents in care. Three (3) staff informed LPA medication is centrally stored and inaccessible to residents in care. Regarding allegation #5, LPA conducted 3 staff interviews. 3 out of 3 staff informed LPA they assist residents with care needs in a timely manner. LPA conducted 6 resident interviews, 2 out of 6 residents were unable to answer LPA's question. 4 out of 6 residents informed LPA staff assist with care needs in a timely manner. LPA obtained pertinent documents indicting the daily care needs that were provided to residents; such as diaper changes, showers, and medication distribution. Based on LPAs observations, record review, and interviews, the above allegations are 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 where this report was discussed and a copy was provided to Administrator Alma Espinal at the conclusion of the visit.