The complaint alleged that staff sometimes bring R1's medication in the morning, and at other times R1 has to find it. On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegation and stated that the med techs follow the doctor's orders and ensure that all resident medications are delivered on time. On the same date, the department also interviewed two Medical Technicians (MT1 and MT2), who denied the allegation and stated that they follow the doctor's orders. If the facility receives medications without a doctor's order, they call the doctor's office to request that the orders be faxed. They also stated that the medication must be administered 1 hour before and 1 hour after. They also stated that they used the E-MAR to assist with residents' medications.

Additionally, the department interviewed five staff members (S1-S5), all of whom denied the allegation and stated that only Med Tech assist with medications. On the same day, the department interviewed six residents (R1-R6), all of whom denied the allegations and reported that staff help them with their medications without any issues. The department reviewed the R1 MAR record dated 07/8/2024 and found no discrepancy.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated.

Report Continued on LIC9099C

The complaint alleged that staff were not allowing Resident #1 (R1) to manage their own medications, despite the doctor’s approval. On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegation. A1 stated that the medication technicians follow the doctor's orders and ensure that all resident medications are delivered on time.

A1 also explained that when a resident is admitted to the facility, a medication self-management assessment is conducted to determine if the resident is capable of self-medicating. When R1 was admitted to the facility on July 19, 2024, R1 expressed a desire to self-manage their medications on September 5, 2024. The facility performed a medication self-management assessment on September 9, 2024, which indicated that R1 was capable of storing and managing their medications. Since that assessment, the facility has not been involved in storing or managing R1's medications.

On April 28, 2026, the department also interviewed two Medical Technicians (MT1 and MT2), who denied the allegation. They stated that they follow the doctor's orders and that the facility does not charge a fee for managing residents' medications under the Assisted Living Waiver (ALW). They further explained that the facility requires a pharmacy profile for residents and, if everything is in order, approves the self-management of medications.

Report Continued on LIC9099C

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore, the allegation is Unsubstantiated.

No deficiencies were cited.

An exit interview was conducted. A copy of this report was provided to the Administrator, Austin Irwin.