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13 | On 7/9/2024, Licensing Program Analysts (LPA’s) Tobola & Mutialu arrived unannounced for the purpose of delivering complaint investigation findings and were greeted by Acting Administrator, Mike Chatman.
LPA’s toured the facility, reviewed resident medication supply and records, reviewed staff and resident records, interviewed staff and made observations during the course of the investigation.
Complaint alleges, staff mismanaged resident's medication additionally indicating staff (S1) taking narcotics from the facility. Based on LPA spot review of medication supply and medication records, medications, narcotics and records for 3 out of 3 residents in memory care and 3 out of 3 residents in assisted living were found to be in order. During LPA observations during medication record keeping, administering and medication security protocols, LPA found that medtech staff (S2 & S3) appropriately handled medications and records. During a tour of the facility, LPA also found all medication storage carts to be secured and inaccessible to residents in care. Upon interviews with Director of Care and Resident Services (S2) & Resident Service Director (S3), medication destruction protocols were found to be properly implemented with no observed medications not properly disposed or destroyed. Lastly, upon review of S1's staff records LPA's did not find any corrective actions pertaining to allegation. Due to a lack of corroborating evidence, the allegation is unsubstantiated. Continued onto LIC9099-C |