Complaint·March 26, 2026

9099C-1..Staff (S1) stated she was on vacation from March 8, 2026 through March 13, 2026 so did not see (R1) for about half the time they were at the care home, and confirmed (R1) moved out on March 19, 2026. (S1) stated the Ombudsman came by twice and the second time (R1) requested the case be dropped. (S1) stated that (R1) was fully cognitive and explained ( R1) was taking several PRN medications- Oxycodone, Tylenol and Ibuprofen. (S1) stated PRN Oxycodone was to be taken every (6) hours, and (R1) "always asked for Oxycodone" for pain following surgery on their arm. (S1) explained "(R1) was supposed to ask" for all PRN medications and so staff didn't automatically administer it, confirming she would give (R1) their "am" meds when they returned at 10:00 am and and later their dinner meds. Both the Administrator and (S1) stated (R1) would leave the facility at 6:00 am to go to the clinic and would return anywhere between 10 am- 3 pm, as it varied. The Administrator stated she was here daily from March 7, 2026 through March 13, 2026, which is reflected on the MAR, (R1) would always ask for medication when they were in pain and staff would always administer it to them. T he MAR shows that (R1) received Oxycodone on March 8, 2026 (3:00 am). An individual who is familiar with (R1) stated that they felt (R1) was "pretty credible" in what they stated about the PRN medication not being given and confirmed that (R1) stated there was only an issue with medications not being given on 3/16/2026, at bedtime. Physician's orders show there were no scheduled medications to be administered at bedtime. The MAR for March 2026 reflects that all scheduled medications were given, except when (R1) was out of the facility. In addition, the MAR shows PRN Oxycodone 10mg was administered, at different intervals, starting on March 5, 2026 through March 15, 2026 (5:00 pm) and was not ever administered at 8:00 pm. Tylenol 325mg was administered multiple times from March 5, 2026 through 7, 2026, including one time at 8:00 pm, and once on March 14, 2026. Ibuprofen was administered one time, on March 6, 2026 (5:00 pm). The MAR shows that (R1) missed medications on the morning of March 16, 2026 but received medications at 5:00 pm that day, and the last medications administered were on March 19, 2026 in the morning, prior to (R1) moving out. Based on information obtained, LPA finds this allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview. Copy of report provided.