complaint·July 21, 2022

the police. Based on police records and witness statements, R1 told the police S1 accused R1 of stealing another resident’s oatmeal. However, when LPA interviewed R1, R1 stated there was a misunderstanding about the theft accusation on 7/5/2022 and it was in fact another resident who accused R1 of theft. Therefore, the allegation staff accused resident (R1) of theft, is found as UNSUBSTANTIATED. Regarding the allegation staff is not giving R1 medications on time, LPA conducted interviews with staff and R1. While the police were at the facility on 7/5/2022, R1 told the police that staff were not giving their medications on time. LPA reviewed medication records which indicated R1 was being given medications as prescribed. During R1’s interview with the LPA on 7/21/2022, they stated they have been receiving medications on time, as prescribed. Therefore, due to conflicts in statements by R1, the allegation that staff are not giving the resident medication on time is UNSUBSTANTIATED. Regarding the allegation staff are not maintaining a medication log, LPA conducted interviews with staff, R1, administrator and a witness. LPA also reviewed the medication logs as well as physician orders for R1. The medications logs were complete, and it appeared R1 was receiving medications as prescribed. The witness had stated the morning medications had not been logged during their visit on 7/5/2022. Staff indicated they administer medications with breakfast and write in the log later in the morning or early afternoon. During LPA’s visit the medication logs appeared to be properly maintained. Therefore, based on this investigation, the allegation that staff are not maintaining a medication log, the finding is UNSUBSTANTIATED. Regarding the allegations staff caused resident to scratch arm and staff elbowed resident in abdomen during staff intervention to prevent R1 from eloping from the facility, LPA conducted interviews with staff, administrator, R1 and a witness. Staff and administrator stated R1 was frustrated about not receiving enough cigarettes and had increased anxiety causing R1 to want to leave the facility. R1's conservator had instructed administrator to scale back on the amount of cigarettes R1 smoked daily. R1 had reported to the police on 7/7/2022 that S1 caused a scratch on their arm and elbowed them in the abdomen. However, witness interviews and a review of police records did not indicate any evidence that R1 was scratched on their arm or elbowed in the abdomen by S1. When LPA interviewed R1 on 7/21/22, R1 was not sure how their arm was scratched and denied being elbowed in the abdomen. R1 confirmed the reason for getting upset and trying to leave the facility boiled down to wanting more cigarettes and their desire to go back home. R1 admitted to being very difficult with staff. R1 stated they slapped a plate of food out of S1’s hand on 7/7/2022 while trying to elope. R1 had no complaints about staff and said they feel safe with all the staff and the administrator at the facility. R1 has agreed with the administrator to call the administrator first, before calling 9-1-1, whenever R1 feels frustrated in the future. Based on the information obtained from interviews and records, the allegation staff caused resident to scratch arm and staff elbowed resident in abdomen are deemed UNSUBSTANTIATED at this time. Exit interview conducted and report emailed to administrator.