Complaint·November 7, 2023

Two staff members also mentioned that when R1 gets a call, they give the phone to R1. However, R1 sometimes doesn’t understand or know how to communicate due R1s cognitive disorder. Based on records review, RP sent timelines where in RP was able to get in contact with R1 by calling the facility. There were also instances where another family member calls RP due to the request of R1. The visitation logs only showed that RP only visited the resident once since being admitted to the facility. Regarding the allegation facility staff chemically restrained the resident. RP mentioned that R1 is always in mood stabilizers because of R1s agitation and was always tired. Based on records review, R1 has trouble sleeping and was prescribed Trazodone to help assist. Trazodone was given as a PRN medication and is to be administered after dinner if needed. R1 was prescribed Trazodone starting March of 2023. During this month R1 was given 7 doses on different days. In April 2023, R1 was given 2 doses on different days also. The following months there were no more records of Trazodone being given. A total of just 9 doses from the time it was prescribed were administered. LPA interviewed two Medical Technicians, and both observed that when R1 is given Trazodone, R1 gets groggy and is then assisted to bed. Both Administrator and Wellness Director stated that the facility is not able to chemically restrain residents. Any medication given to residents are doctor prescribed. Facility only follows doctors’ directions and just report if there are any changes to the resident. Therefore, based on the interviews conducted, files reviewed, and information collected, the allegations mentioned are UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove that the alleged violation occurred. Report is reviewed and a copy is provided.