Complaint·August 10, 2023

On 09/27/2022, LPA received documentation of daily medications given to residents, as well as the Centrally Stored Medication & Destruction Record. On 05/12/2023, separate LPA conducted record review of the records/documentation of medication for residents and the Centrally Stored Medication and Destruction Record received by separate LPA from the facility on 09/27/2022. No errors or questionable staff marking were found in any of the resident medication documentation. LPA saw no incidents between 09/06/2022 through 09/22/2022 in which wrong medications had been documented being given to any resident. While investigating a separate complaint at the facility on 05/12/2023, LPA interviewed residents who stated that they had never been given any wrong medication at the facility or heard or any other resident receiving any incorrect medication. Based on the information obtained, there was insufficient evidence to prove the allegation. Therefore, it is deemed Unsubstantiated at this time. On the allegation: Staff do not attend to residents in a timely manner. It is alleged that Staffing at the facility is in a constant state of flux, and that staff members do not respond to radio calls, so residents are left unattended for long periods of time. The allegation does not know the exact amount of time the residents are left unattended for, but that it was a constant issue. On 09/27/2022, LPA observed the Staff of the facility while at the facility for the complaint investigation visit. The LPA observed all staff members answering radio calls and attending to residents on a consistent basis. While investigating a separate complaint at the facility on 05/12/2023, separate LPA interviewed witnesses who indicated that staff members are attentive to the needs of residents in a timely manner at the facility. LPA did not observe any received radio call by facility staff members go unanswered or ignored. On 08/10/2023, LPA observed staff members answering radio calls in a timely manner and assisting residents when/if needed. LPA did not observe any staff refusing or neglecting to answer a radio call at the facility. Based on the information obtained, there was insufficient evidence to prove the allegation. Therefore, it is deemed Unsubstantiated at this time. On the allegation: Staff do not properly maintain resident’s prescription medication records. It is alleged that there are documentation errors on narcotic medication including multiple bottles with various amounts of medication and incorrect pill counts. The allegation does not know if there is any medication missing. Continued on 9099-C On 09/27/22, LPA interviewed staff members and obtained records/documentation of medication for residents and the Centrally Stored Medication and Destruction Record. Medication records for September 2022 are documented appropriately with no inconsistencies or absence of documentation. There is no documented evidence to corroborate the allegation. No witnesses interviewed stated seeing or receiving any incorrect medications. On 08/10/2023, separate LPA reviewed the Centrally Stored Medication and Destruction Record for the assisted living portion of the facility. LPA also obtained copies of resident medication records and physician order reports for residents, maintained in each resident’s record/file. LPA observed that all the correct/proper medications were logged as having been given to each resident, and an audit of the actual medications stored in the assisted living portion of the facility matched the records maintained by the facility. Based on the information obtained, there was insufficient evidence to prove the allegation. Therefore, it is deemed Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. A copy of the report issued to the Administrator.