complaint·October 1, 2025

The investigation revealed the following: Allegation: Facility failed to assist resident with administration of medications. The detail of the complaint alleges that R1 wasn’t receiving medication at the facility during the time of March 2022-May 2022.. On October 1, 2025, the Department conducted a review of R1 Medication Administration Record (MAR) for March 2022, April 2022 and May 2022. Records revealed that all of R1's medication including PRNs were given and properly initialed by staff; no discrepancies found. On October 1, 2025 at 1:17pm, The Department interviewed Administrator (A1), who denied the allegation stating there were no reports of R1 missing medication as mentioned in the complaint. A1 went on to state that in the event a resident medication has not arrived due to an any issue, the facility's pharmacy will provide them an emergency supply of medication until issue is resolved so that resident is not missing the medication. On October 1, 2025, between 1:00pm and 2:00pm, The Department interviewed 3 staff regarding the allegation and of those interviewed, 3 out 3 stated that at no time has R1 missed any of her medication. Additionally, 3 out of 3 stated that medications for all residents are dispensed as prescribed and are on time. Page 2 of 3 On October 1, 2025 between 2:45pm and 3:40pm, the Department interviewed 3 Residents (R-2 -R4). The Department was unable to interview R1 as she reportedly passed away on August 2023. Of those interviewed, 3 out of 3 state they receive their medication as prescribed and on time and that they have never miss medication due to staff not giving it. According to the information gathered there is insufficient 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, therefore the allegation is UNSUBSTANTIATED. There were no deficiencies cited during today's visit. Exit interview conducted with Administrator Emily Rodriguez and copy of report provided. Page 3 of 3