The investigation revealed: Allegation: Staff are harassing residents to ingest resident's prescribed medications. It is alleged that staff are withholding food from residents unless they take their medications.

LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. One resident stated food is never withheld from resident regardless of if resident takes medication or not. LPAs toured the upper and lower dining rooms during lunch time and all residents were provided their meals and observed nurse providing medications to some residents and no resident was refusing to take the medications. Nurses denied hiding the medications in the food or withholding food. W1 stated that food is not withheld from resident if resident refuses medications. There is insufficient evidence to substantiate this allegation.

Allegation: Staff does not ensure resident's medication records are updated. It is alleged that there is no evidence of discussion between one resident’s physician and facility staff. LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. W1 stated W1 is aware of all medication changes and in agreement with them. An order from one resident’s physician for alteration of medication was sent to facility on 01/06/2025. On 01/06/2025 family took resident to medical appointment. New prescription was discussed between resident’s physician and the family. The new prescription was approved by family. A new prescription order was created and sent to pharmacy on 01/06/2025. One resident stated resident not familiar with what this allegation means. LPA reviewed one resident’s progress notes for month of January 2025. On 01/13/2025 and 01/17/2025, Resident record was updated and shows progress note updating resident’s medical records. Resident’s medication records were updated on 01/07/2025 and 01/14/2025. S1 stated family took resident to physician on 01/06/2025 and physician recommends changes and family approves the recommendations. There is insufficient evidence to substantiate this allegation.

Allegation: Staff are withholding resident's mail. It is alleged that mail for one resident is being withheld by facility. LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. One resident stated resident always gets mail. One resident stated resident does not want one family member involved in resident’s affairs or to have any kind of contact with resident as it becomes too stressful for resident. One resident stated resident would prefer if one family member be left out of resident’s medical and personal business completely. There is insufficient evidence to substantiate this allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.