Complaint·January 10, 2025

Regarding the allegation that staff did not administer resident's medication, RP stated that R1 had been given lunch but no lunchtime medication. They had to go around that floor to find someone and they found the floor assistant who had to give my R1 the lunchtime meds at request. LPA interviewed two staff members. Both S1 & S2 mentioned that residents are given medications on a timeframe of at least 2 hours. S1 explained to LPA that in the morning the med pass happens between 7-9am. Around lunch it happens between 11am-1pm. They give the medication during lunch time. In memory care they start lunch at 11. Regarding the allegation of resident left in soiled diaper for an extended period of time, RP shared that R1s diaper had not been changed since the night before. RP is not sure the condition R1s diaper, but it was clear R1 hadn’t been changed properly for the morning. According to S2, they are at least scheduled to do round every 2 hours to check on residents. If in between they notice that residents need changing then they assist the resident. If a resident was left in soiled diapers and the next shift notices it they report it to management so it will be addressed. Based on interviews, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Report is reviewed and copy is provided.