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13 | Licensing Program Analysts (LPA) Holly Williams made an unannounced visit to conclude the investigation of the above allegations and to deliver the findings. LPA Williams met with facility administrator Martin Nichols and together discussed the investigation details.
This investigation consisted of interviews, observations, and record review. LPA Williams interviewed two staff members (S1-S2), Caregiver, and one resident (R1).
R1 was given pain medication on 10/16/24 and 10/17/24 according to what was found in the investigation the pain medication made R1 decompensate, and the pain medication was discontinued.
According to the Medication Administration Report (MAR) the medication was given on 10/16/24 and 10/17/24 and then ordered to stop and not to be given without consent.
During the investigation the medical power of attorney is found to be valid.
Based on interviews, observation, and record review, the above allegation is UNSUBSTANTIATED, which means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies were cited regarding the above allegation. An exit interview was held and a copy of this report was left with Nichols.
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