complaint·October 7, 2021

Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening protocols, wore a mask and maintained distance during the visit. LPA Smith conducted an unannounced complaint visit and met with Juliet Irungu. Complaint alleges that the resident was only administered 1/2 the dosage as the prescription states. Based on witness interviews, LPA was unable to confirm this allegation. As a result of this investigation, LPA finds the allegation that staff are not following physicians orders for medication administration to be UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.