complaint·June 14, 2023

It is alleged that staff are mismanaging residents’ medications. LPA reviewed resident’s Medication Administration Records along with the Centrally Stored Medications List. There was no evidence that medications had been missed. The documents were consistent with one another. Staff and Hospice Agency both deny having any problems with medication management. According the Adult and Senior Duty Logs, there have been no recent incident reports of medication errors from the facility. It is alleged that unqualified staff are caring for residents. LPA conducted a record review of seven (7) staff files. 7 out of 7 staff files included proof of training which meets regulation. All staff members are provided their training upon their hire date and annually afterwards. On 5/26/22, the facility was approved to care for six (6) hospice residents. It is alleged that staff are not able to effectively communicate with residents. During the visit, LPA communicated with Maria and number of staff members present. LPA had no difficulty communicating with staff to make requests or obtain records. LPA observed staff communicate with residents in care with no difficulty. LPA also observed staff communicating with one another with no difficulty. Staff all deny that they have had any trouble communicating with residents in care. Based on observations, record reviews and interviews, 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 and a copy of this report was provided.