complaint·June 16, 2023

Moreover, staffs interviews revealed that Licensed Vocational Nurses (LVNs) from Skilled Nursing and Assisted Living of the facility are assisting the residents in Memory Care to ensure that residents on insulin were provided their medication in a timely manner. LVNs reported to LPA Brown that no incident happened at the facility that a resident was not able to eat on time due to an incident that a resident was not able to received their medication on time. Also, during the facility visit last 04/18/2023 and 06/16/2023, LPA Brown observed certified nursing assistant (CNA) staffs/Medical Technicians administering medication to a resident during meals. In addition, LPA Brown reviewed Resident #1 (R1), Resident #2 (R2) Resident #3 (R3) and Resident #4 (R4) Medication Administration Records (MARs) and it indicated that their medications were administered in a timely manner. The second allegation indicates Staff do not adequately supervise residents in care. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Residents Interviews indicated that staffs are providing appropriate care and supervision to all the residents in care and that all staff are nice and helpful to all the residents. Interviews with staffs revealed that they are all providing adequate care and supervision to their residents at the facility and they are not allowed to use their phone while they are on duty. Moreover, staffs interviews indicated that all staffs are constantly monitoring all residents at the facility to make sure that their residents are adequately supervise and appropriately taken care of and no staff are distracted while on duty. Staffs and residents interviews also revealed that there's no incident happened at the facility that a staff did not adequately supervise a resident in care. Moreover, during the visit last 04/18/2023 and 06/16/2023, LPA Brown observed CNAs/staffs assisting residents in the Activity Room, in the hallway, in their room, in the common area/Day Program area during the tour of the facility with Memory Care Director Denise Perez. Based on the evidence, the allegation that Staff do not ensure that residents are provided their medication(s) in a timely manner (Allegation #1), Staff do not adequately supervise residents in care (Allegation #2) are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 was discussed and provided to Administrator Mary Wolff and Memory Care Director Denise Perez.