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13 | Licensing Program Analyst (LPA) Jennifer Lott contacted the facility via telephone to deliver findings for a complaint investigation. This visit was conducted via video conference, due to COVID-19. LPA identified herself and discussed the purpose of their call with Administrator, Diana Santana.
It is alleged that staff failed to safeguard resident’s medication and that staff also stole medication. On or about February 2019, medication was to have been missing from resident #1’s (R1) apartment. Although R1 is a centenarian, it was determined by both their doctor and the facility’s own assessments, that R1 could live independently and handle their own medications. Facility staff advised the resident and their family to keep all medication locked in a secure box. At the time the medication allegedly went missing, R1 was storing their medication in envelopes pinned to a bulletin board. R1 and family did not secure their medication in lock box as previously recommended, nor did they choose to centrally store the medication. Because R1 was considered independent, they had limited contact with care staff. Four (4) out of five (5) care staff interviewed stated that they did not remember R1 and the one staff that did remember R1, could not recall if the resident handled their own medications or if any medication went missing. Interview with R1 revealed that they did not believe they were ever missing any medication and that it had all been accounted for.
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