complaint·September 9, 2022

On the allegation: Staff are not dispensing medication as prescribed. LPA conducted interviews with 3/6 staff (S1)(S5)(S6) which revealed on the PM shift Resident 1 (R1) was given a PRN medication that was not documented and given disguised in water without a doctor’s order by Staff 8 (S8). Facility internal investigation revealed S8 gave R1 medication on one occasion by camouflaging it in water without a doctor’s order and on another occasion S7 gave R1 medication and did not record it on the medication records. Facility determined conclusive findings and let S8 go from employment. LPA reviewed medications records which were not completed for the dispensing of this medication. Based on the evidence the allegation is deemed Substantiated at this time. On the allegation: Staff are not treating resident with respect. LPA conducted interview with staff 6 (S6) witnessing S8 giving R1 medication when R1 was refusing and did not want to take the medication, R1 immediately wiped out R1’s mouth when given the medication due to R1 not wanting to take the medication. Facility internal investigation revealed S8 gave R1 medication when R1 was refusing medication. Facility determined conclusive findings and let S8 go from employment. LPA reviewed medication records which were not completed for the dispending of this medication. Based on the evidence the allegation is deemed Substantiated at this time. Exit interview conducted, deficiencies cited, copy of report and appeal rights emailed to the Administrator.