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32 | (Dated: 07/16/2026), Admission Record (Dated: 07/15/2026), Medication Administration Record (Dated: 07/17/2026-07/29/2026), Prescription Order (Dated: 07/27/2026), Medication List (Dated: 07/15/2026), and Kei-Ai South Bay Healthcare Discharge Report (Dated: 07/17/2026).
The investigation revealed the following: Allegation- Staff are overmedicating resident.
The details of the complaint allege that facility staff are overmedicating resident. It was reported that a resident was being overmedicated in order to keep them less active. On 8/13/2026, from 9:00am-2:00pm, the department interviewed staff (S1-S3) and residents’ (R2-R5). The department attempted to interview R1 on their cell phone several times and left messages but did not receive a return call. The department also contacted the skilled nursing facility that the resident is in now but was not able to speak to R1.
3 of 3 staff denied the allegation Staff are overmedicating resident. All staff (S1-S3) stated that they have never overmedicated any resident and have always followed the resident’s medication list as prescribed by their physician. Staff (S1) stated that resident (R1) seem to be overly tired after a new medication was prescribed for them but deny that they were over medicating (R1). S1 stated the facility staff gave all medication as prescribed by (R1s) physician and has never overmedicated them to keep them less active. S1 also stated that (R1) was hospitalized recently because they were lethargic, had shallow breathing, and their oxygen saturation level was low at 73%.
The department interviewed residents (R2-R5) about the allegation and 4 of 4 residents stated that they receive their medication as prescribed by their doctor. Residents deny that staff has ever tried to overmedicate them.
The department reviewed the Medical Assessment (Dated: 07/14/2026), Preplacement Appraisal Information (Dated: 07/16/2026), Prescription Order (Dated: 07/27/2026), and Medication List (Dated: 07/15/2026) and observed that the resident is taking several medications that have side effects that cause drowsiness, dizziness, confusion, blurred vision, and lightheadedness. Those medications are Promethazine-dextromethorphan, Furosemide, and Meloxicam. The department also reviewed the Medication Administration Record (Dated: 07/17/2026-07/29/2026) and observed that all prescribed medication was given as prescribed and documented. The department did not find any evidence that the facility was overmedicating the resident.
Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff are overmedicating resident. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.
No citations were issued for this complaint investigation.
An exit interview was conducted with Kristina Lacanilao, Administrator, and a hard copy of this Complaint Investigation Report was provided.
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