complaint·February 3, 2026

Continued from 9099.... AMENDED: LPA Nakagawa met with Administrator Rick Ziese Dulay and reviewed the amendment. On 02/03/2026 LPA spoke with Administrator Karrie Silvey who stated that the facility had been on lock down over the past week due to a Gastro-Intestinal Outbreak, which also affected staff, including several medication technicians. LPA requested Medication Administration Records (MARs) and found documentation showing that on 01/29/2026 and 01/30/2026 medications for 27 residents were not given as ordered by the Physician due to administration after the prescribed time. LPA also reviewed the staff schedule for the same dates, 01/29/2026 and 01/30/2026 and found that three (3) medication technicians had called off due to illness. The Administrator and two (2) Directors who had training in medication administration were able to help fill some of the gaps. Records indicate that the added personnel were able to provide the necessary support to administer the medications within a reasonable amount of time and as prescribed. Staffing levels were stretched but staff was able to provide medication management in a timely manner. Based on LPA interviews, and review of information obtained, the investigation has revealed that the allegations Staff do not ensure medications are dispensed as prescribed and Facility did not ensure adequate care and supervision are UNSUBSTANTIATED. Although the allegations may have occurred there is not a preponderance of evidence therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and appeal of rights provided.