complaint·February 10, 2025

Regarding the allegation that staff mishandled, LPA Prieto obtained medication records for R1. The allegation stated that R1 was given antibiotics an those medications were given to facility but not dispensed. Medication records state that R1 was not prescribed this particular medication, which records appear to concur with statement. Interview with S1 and S2 both stated that antibiotics were brought to the facility with no doctor's order. Regarding the allegation that staff allows resident to be soiled while in care, Interview with Memory Care Director (S1), states that R1 was cleaned and changed prior to leaving to a medical facility and no noticeable injuries R1 upon discharge to a medical facility. R1 was available for interview during time of investigation and could not observe or corroborate that resident was left in soiled diapers. Regarding the allegation that staff left resident unattended in the dark while in care, due to R1 being available for interview during time of investigation, LPA could not observe or corroborate that resident was left unattended. No specific time periods were provided to investigate such allegation. Based on the information obtained there is not enough evidence that staff neglect resulted in a resident sustaining multiple pressure injuries, staff mishandled a resident's medication while in care, staff allows a resident to be soiled while in care and staff left a resident unattended in the dark while in care. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Enriquez and a copy was left with the facility.