Complaint·June 9, 2021

According to the review of the documents, R1 was admitted at the facility on June 01, 2020, with home health services. R1’s records revealed that they required assistances with bathing, grooming, dressing, emotional support, and medication management. The records further showed that R1's treating physician is also the physician with the home health agency. In reviewing the home health records, it confirmed that R1 received nursing services from March 22, 2020, through May 12, 2020. On May 12, 2020, R1 was discharged from home health, as R1 met their care goals. However, R1 remained with their treating physician. LPA also reviewed R1's medication list and the facility's medication record logs from June 2020 through September 2020 and the records showed that the licensee had not administered M1 to R1 until September 01, 2020. An interview with the home health agency confirmed that the licensee was given R1's medication list, at which M1 was listed on the sheet as a PRN medication, which means as needed. The interview also revealed that R1’s treating physician had not discontinued the medication in question, and no changes were made to M1 until September 10, 2020. Though staff interviews did not support the allegation, an email received by the licensee on September 04, 2020, confirmed that the licensee did administered M1 to R1 on September 01, 2020, as prescribed. Due to R1's cognitive impairment, LPA was unable to obtain an interview. LPA also interviewed additional outside sources. However, their interviews were found to be inconsistent to support the allegation. Based on interviews conducted and a review of documents, there is insufficient evidence to prove or disprove that the allegation occurred; therefore, the complaint investigation findings are found to be unsubstantiated. LPA conducted an exit interview with Administrator, Gaurav Rathi. The Licensee's Rights (LIC9058 01/16) and a copy of this report with their signature were provided to Mr. Rathi. A return email or reply receipt from the administrator will confirm receipt of documents. This is an amended version of the original report created on 06/09/21.