complaint·September 15, 2022

There is an allegation that staff are not properly storing medications. Medications are stored in locked cabinets in the hallway. LPA verified that medications are kept in their original containers. Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. There is an allegation that staff are not ensuring that residents are wearing their own clothing. LPA inspected resident bedrooms and observed resident clothes hanging in closets and folded in drawers. Per administrator, resident laundry is done by room which helps keep track of resident possessions. Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. There is an allegation that staff are falsifying medical documentation. During the inspection LPA reviewed medication administration record (MAR) and conducted interviews. LPA obtained copies of MAR and medication list for 4 out of 13 residents. Interviews and record review revealed that medications are being dispensed per physician’s orders. Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. There is an allegation that facility is in disrepair. During the inspection LPA toured building and grounds which were clean and in good repair. LPA observed landscapers working on the front yard during the inspection. Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. There is an allegation that facility staff are not ensuring that the facility dishwasher is sanitary. During the inspection LPA observed the dishwasher operating normally. Dishwasher was clean and sanitary. Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violation did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted with administrator, Elizabeth Lopez and a copy of this report printed for the facility.