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A subsequent complaint visit was conducted on 1/28/25 by LPA Christine Yee to conduct further investigation for the above allegation. LPA Yee met with Elizabeth Whittington, Executive Director. LPA Yee provided the reason for the visit. During the subsequent visit, LPA Yee interviewed Elizabeth Whittington, Executive Director at 1:11pm, Staff #1 at 2:44pm, Staff #2 at 4:37pm, Resident #1 at 3:27pm and obtained additional facility files. Based on information obtained on the subsequent visit, it was determined that additional interviews are needed to make a finding for the above allegation. Exit interview was conducted and a copy of this report was provided.
On today's visit, LPA Yee reviewed and obtained copies of the Medication Administration Record for Resident #1 and Resident #2 beginning at 11:12am and clarified information obtained from resident and staff interviews with the Executive Director. Prior to conducting today's visit, LPA Yee also conducted a telephone interview with Staff #3 at 8:42am.
Per interviews conducted regarding the allegation that staff are not ensuring that residents are administered their medication(s) as prescribed and Staff # 3, was specifically named as the alleged perpetrator. Due to Staff #3 being related to the their supervisor, nothing is being done to address the issues with medications. Staff #3 works the night shift from 10pm- 6:30am. Per information provided, Staff #3 works as a caregiver and provides coverage as a medication technician on the days that the regular medication technician is off. Per interviews conducted, majority of the medications are dispensed during the first and second shift. The night medication technician does not really dispense medications. They will dispense PRN medications when the resident request them at night. Per information provided, the facility has only 2 residents who requests their PRN medication at night. Resident #1 does not like taking their PRN Hydrocodone 10/325mg tablet for pain in the day time as it makes them sleepy and is known to requests their hydrocodone regularly at 11pm, unless they are asleep. Resident #1 has also asked for their medication as early as 10:30pm. Sometimes Resident #1 forgets that they took their Hydrocodone and staff has to remind them that they took it already. Staff now leaves the empty pill cup on the night stand as a reminder to the resident. Resident #2 will sometimes ask for their PRN medication occasionally and has been currently in the hospital. Per interview with Resident #1,they have not been refused their medications or had any medication issues. Per interview conducted with Staff #1, who the complainant alleges has information to confirm the above allegation, vehemently denies having any knowledge of medication issues. Staff #1 states that they provide care to the residents and only relay a message tot he Medication Tech when the residents requests their medications. |