complaint·October 21, 2022

Based on interviews and record reviews, it is determined that there is not a preponderance of evidence to conclude resident definitively sustained falls while in care. Therefore, this allegation is UNSUBSTANTIATED. Allegation #2: Staff did not administer resident's medication as prescribed. LPA conducted staff interviews and reviewed medication log sheets and physician's orders for R1. The received allegation states R1 was given the wrong medication. Based on interviews and record reviews, it was determined that R1 had multiple medications changes for a pain medication which appeared on medication log sheets as ordered. It was further determined that facility was consistently following physician's orders as written and correctly transcribing medication to the log sheets on all medication in addition to pain medication. Based on record reviews and interviews, it is determined that there is not a preponderance of evidence to conclude that facility was not administering medication as prescribed or giving incorrect medication. As a result, this allegation is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means even though the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Mary Margaret Chappell and a copy of this report was left with Mary.