complaint·October 2, 2024

**Report continued from 9099-A..... Allegation- Unqualified staff administering medications.-UNFOUNDED The Department conducted interviews with five (5) staff members and reviewed record regarding the allegations cited above. Staff interviews revealed that facility has trained staff who were managing residents’ medications and has access to medication room. Staff interviews denied that any unauthorized person was dispensing residents’ medications. There were some staff who were cross trained to do other duties and those staff also fill-in to do Med Tech job as needed per facility’s staffing needs. Record review indicated that facility has proper documentation of resident’s medication administration and there were no discrepancies. Record review also indicated that facility has proper training records for all staff who were administering resident’s medications per Department’s Regulations. Based on information gathered, this allegation was found to be Unfounded. Allegation- Staff are not providing activities for residents.-UNFOUNDED The Department conducted interviews with staff and residents and reviewed records to investigate the allegation. Five (5) staff interviews indicated stated that they offered multiple activities to all residents but most of the residents like to play bingo most of the times. Four Residents interviews indicated that facility was offering a variety of activities and there were no issues to address. Four (4) residents interviews indicated that the facility was providing a variety of activities for the residents to take part in. During department visit, it was observed the facility was providing different activities to residents who wish to participate. Additionally, Department observed monthly activity calendar posted in common areas at the facility, therefore the above allegation is UNFOUNDED. Allegation- Staff engaged in a verbal altercation with another staff in the presence of residents.-UNFOUNDED During investigation, Licensing Program Analyst (LPA) Bains interviewed residents and staff to investigate this allegation. Based on interviews that was conducted with four residents, residents stated that they did not witness facility owner, administrator or staff was threatening or had verbal altercation with any staff member. Five Staff who were interviewed stated that they have not observe facility owner threatening any staff member in any manner. Staff interviews indicated that sometimes staff talk loud to each other which could have been perceived as threatening tone, but staff treat everyone with respect and dignity and work at facility in a professional manner, therefore the allegation is UNFOUNDED. ***Report continued... **Report continued from 9099-A..... Allegation- Staff did not ensure the a/c was not in disrepair. Staff did not ensure residents rooms were not leaking.- UNFOUNDED The Department conducted interviews with staff and residents to investigate the allegation. Four resident’s interviews did not indicate any issues with facility’s physical operations including working A/C unit or any leakage in any residents’ rooms. Residents stated that sometime in August 2024, one of A/C unit was not working properly but facility followed up on that issue in timely manner and that issue has been resolved completely. Residents care or safety were not affected by issues with A/C unit not been working at that time. Five staff interviews reflected that facility A/C was operating without any problems and they were not aware about any water leakage in any rooms. Furthermore, staff stated that facility administration follow up in in timely manner if there were any issues with any physical operations at the facility, therefore the allegation is UNFOUNDED. A finding that the allegations are Unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. Exit interview conducted. A copy of this report has been provided to facility.