| Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.
Allegation: Facility staff are withholding resident's medications.
The detail of the complaint alleges that the staff are withholding medication from C1
On 10/15/25, the Department interviewed Administrator (A1) via telephone. Who denied allegation listed above.
On 10/15/25, the Department interviewed 2 staff (S1-S2) regarding the allegation. 2 out of 2 denied the allegation stating that medications are always given and they have a system in place to make sure medications are given on time and as prescribed. There has been no reports of missed medications.
On 10/15/25, the Department interviewed 3 clients (C1-C3). 3 out of 3 stated that they always get their medication and none has been withheld.
On 10/15/2025, the Department reviewed and evaluated the following pertinent documents: C1’s Medication Administration Record (MAR)Medication and MAR checklist. The Department observed no discrepancies. Records from 2022 not available for review at time of visit.
Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.
There were no deficiencies cited during today's visit.
Exit interview conducted and copy of report provided.
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