Complaint·May 16, 2023

9099C(1)... Medications were reviewed for (2) residents on 5/16/23, and it was determined that all medications are being administered as ordered with no discrepancies found. Medications are being logged correctly on the LIC625 and PRN medication is also being documented when given. Co-Administrator added a column to record "resident's response" on the PRN log, per Regulation 87465. Co-Administrator stated that no residents take cough syrup, which can cause drowsiness, on a regular basis. One staff stated "Maybe once in a while, one resident wakes up to use the bathroom" at night. Another staff stated that residents sleep well through the night. Co-Administrator, Melania, stated that the Administrators are on-call during the night and care staff only works during the day. One resident stated she receives her medications correctly and timely and "takes quite a bit of meds", and confirmed she receives the same meds every day. A second resident stated the Co-Administrator takes care of all of the meds- and puts them in little cups", and there are "no errors" with medications, she receives the same meds at the same time daily, and also receives showers as scheduled. All staff stated that the owner oversees all medications administered to the residents. Both Administrators stated that one of them will administer the medications to residents on a daily basis. LPA observed (4) of (6) residents to be awake during today's inspection. (2 residents are currently on hospice. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Facility staff not fingerprint-cleared. Complaint alleges that some staff are undocumented and are not finger-print cleared. LPA reviewed staffing records and schedules and confirmed that all staff are finger-print cleared and associated to the facility. In addition, LPA confirmed multiple staff's identity in person from a photo ID or passport provided. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. cont on 9099C(2).. 9099C(2)... Allegation: Staff are using drugs while on duty. Complaint alleges that staff are using drugs while on duty. One staff stated all staff are awake and able to do their job with a second staff stating that no staff are under the influence of any drug or alcohol while working. Both Administrators stated that one of them is always at the facility and oversees the care being provided. One resident stated staff are doing their jobs safely and well, everything is good with care and confirmed they will help her when she needs assistance. A second resident stated all (3) staff are "doing a great job", 'they treat us beautifully", are always awake and alert and "never under the influence" of any drug/alcohol and "everything is on time". LPA observed staff to be competently assisting residents and able to perform their jobs on on 5/16/23, 4/5/23 and during another inspection in November 2022. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Facility staff are abusing residents. Complaint alleges that staff are abusing residents with no specific details provided. One resident stated staff are doing their jobs safely and well, everything is good with care and confirmed they will help her when she needs assistance. A second resident stated all (3) staff are "doing a great job", 'they treat us beautifully", are always awake and alert and "everything is on time". Co-Administrator stated she is at the facility daily and if there any concerns with resident care, she would address it immediately with the staff and resident. Co-Administrator that she trains her caregivers that "when the client is happy, everyone is happy". LPA observed staff to be competently assisting residents and able to perform their jobs on on 5/16/23, 4/5/23 and during another inspection in November 2022. Based on information obtained, LPA finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis. All allegations were determined to be unfounded. There are deficiencies cited and the complaint is being dismissed. Exit interview. Copy of report provided to Administrator.