complaint·February 13, 2026

9099C-1.. Allegation: Staff are not properly trained. The allegation states that during the NOC shift from Saturday, February 7, 2025 to Sunday, February 8, 2026, one resident needing Morphine to be administered on a PRN basis, were left around midnight with only (2) caregivers who have no knowledge of emergency situations and were not Med-Techs or nurses. The allegation also states these caregivers were left with Medication Room keys that include keys to Narcotic medication for specific residents. The administrator stated that there were (27) residents in the building during this NOC shift, and the scheduled Med-Tech became ill with flu type symptoms around 11:00 pm. The corporate officers arrived around 11:30 pm and counted the Narcotic medication with the Med-Tech, before leaving their shift due to being ill. The administrator further commented that there are currently no residents with medications scheduled during the NOC shift and that no PRN medications were requested or given either. The corporate Vice-President stated that she was at the building all day, on Saturday, February 7, 2026, beginning at 5:00 am, due to discovering the Wi-Fi was down, and confirmed that she remained at the community until around 6:00 pm, before taking a meal break. After leaving the community, she was continually checking if the coverage was adequate and returned around 10:20 pm, to assist staff with checking on residents, who were all observed to be calm. After leaving the building for a break nearby, the officer stated she returned with another corporate officer around 11:30 pm, after being informed the scheduled Med-Tech became ill. There were two caregivers who remained on site after midnight to complete their scheduled shift; however, the corporate officers remained on call, if needed, to administer any medications. LPA reviewed documentation that medications were counted and confirmed by (2) trained staff at each shift change on February 7, 2026 and February 8, 2026, and there were no narcotics missing. Additionally, neither caregiver entered the Medication Room during this shift. LPA reviewed medication documentation for resident (R1) who passed under hospice care on February 9, 2026. The documentation shows that (R1) had a prescription for Morphine Sulf IR 15 mg- 1 tablet every 4 hours, as needed for pain, or shortness of breath, and was administered (3) dosages on February 2, 2026, (2) dosages on February 3, 2026, (1) dosage on February 4, 2026 and a final dosage on February 9, 2026 (1:56 pm), prior to passing. Additionally, (R1) was administered (2) dosages of Lorazepam 0.5mg on February 2, 2026, as prescribed for agitation. * cont on 9099C-2.. 9099C-2.. Additionally, the VP stated that the hospice nurse had just visited (R1) earlier in the afternoon on February 9, 2026, prior to (R1) passing and returned at that time to confirm (R1's) death. (R1's) family had visited during the day on February 9, 2026 and conveyed to the VP that (R1) was very comfortable. The administrator and VP confirmed that (S1) and (S2) are seasoned employees and have completed required training through an approved vendor. Based on information obtained, LPA finds the allegation to be A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted. Copy of report provided.