complaint·June 6, 2025

Interview with R1 revealed they were being provided with their prescribed medications. Interview with (1) staff revealed R1 was only provided with medications prescribed by their doctor. Staff denied R1 was given unprescribed sedative medication. Interview with (1) confidential witness revealed no concerns over the care R1 was receiving at the facility. Additional staff interviews were unable to be conducted due to no contact information being available. No records for R1 were retained by the facility or available for review. Therefore, the allegation that R1 was being given sedation pills that were not prescribed is unsubstantiated. It was alleged “Staff did not ensure resident was fed.” It was alleged that R1 was not fed solid food for (3) days straight and was only given Ensure. It was alleged R1 lost 50 to 60 pounds while at the facility due to malnourishment. Interview with R1 revealed all their care needs were being met by staff. Interview with (1) administrative staff revealed R1 was on Hospice services and refused to eat, but was being provided Ensure. Interview with (1) confidential witness revealed no concerns over the care R1 was receiving at the facility. No records for R1 were retained by the facility or available for review. Therefore, the allegation that staff was not ensuring R1 was being properly fed is unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was provided.