complaint·August 22, 2023

During the facility visit, LPA made three different attempts to interview R1 in her room, unsuccessfully. While doing so, LPA observed that on each occasion, residents' kept their door wide open. The room is on the bottom floor near the lobby. The door opens up to a busy hallway. Resident's use this hallway to get the court yard and dining rooms. It is alleged that staff did not dispense resident's medications as prescribed and medications are being falsely recorded as a refusal by resident. Staff interviews revealed that residents who are prescribed insulin receive their injections in the presence of a Medication Technician for the purposes of safety and security. Furthermore interview with S1 revealed that originally R1's medication was prescribed for 6am. S1 observed R1 was missing doses due to R1 being asleep at the time needed to take the medication. Record reviews revealed the prescription was modified. The time of the prescription was changed to a later time; allowing the resident to sleep in. LPA reviewed the facility's Medication Administration Record, (MARS) for R1. LPA observed no evidence indicating medications were not being administered as prescribed. Interview with R1 revealed that Medical Technician's used to bring the medications to her room, but that changed recently. Staff informed R1 she would need to go to the Medications Office to get her medications. She had no problem with the change, but a family member reported that she did not agree and expressed frustration. Based on observations, interviews and record reviews, we have determined that these allegations are UNSUBSTANTIATED. A finding of 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. An exit interview was conducted with facility representative, where this report was reviewed, discussed then provided.