Complaint·September 26, 2024

9099C-1. The Administrator stated and the physician's report shows that (R1) has a history of refusing medications prior to being admitted to the facility. Documentation shows resident takes approximately (8) medications and resident will pick and choose which medications they want to take. LPA was provided with text messages from the Administrator showing multiple facility staff discussing this concern brought to their attention about staff crushing medications. Both the text messages and conversation with the Administrator and another manager, Linda, show that no staff have been instructed to crush medications for any resident, unless there is a physician's order. Linda clarified with (S1) that she was asked to crush (R1's) medications by a placement agency representative, and (S1) indicated she absolutely cannot crush any medications for any resident without a doctor's order. LPA reviewed hospital discharge paperwork showing (R1) was sent to the Emergency room on 9/25/24 for Dysphagia. Resident returned around 1:00 am the next day, and with an order for crushed medications. The facility can now offer medications crushed. Resident has one medication that is a capsule and cannot be crushed, but it can be opened and mixed with applesauce. Administrator stated that (R1) has not received any crushed medications as of the writing of this report. Based on information obtained, LPA finds the allegation to be UNFOUNDED-A finding of unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview. Copy of report provided to the Administrator.