complaint·April 11, 2023

On March 1, 2023, medication(s) were delivered, and proper dispensing was resumed on the medication that was awaiting to be refilled. Furthermore, LPA conducted interviews, LPA could not prove or disprove that the facility is not administering resident’s medication as prescribed. Complaint alleges that facility does not have sufficient staff to meet residents’ needs. During the course of the investigation, facility records were reviewed which included the staff schedule. On April 4, 2023, LPA learned via observation of the staff schedule that the facility keeps the schedule up-to-date and that the schedule was completed in its entirety. In addition, during document reviews conducted on March 9, 2023, LPA reviewed the staff roster which was found to be appropriate during the review. LPA conducted interviews with residents. LPA could not prove or disprove that the facility does not have sufficient staff to meet resident’s needs. A finding that the complaint allegations of Facility staff is not administering resident's medication as prescribed and facility does not have sufficient staff to meet residents’ needs are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Assistant Administrator.