In regards to allegation – Facility staff mismanaged resident’s medication resulting in hospitalization. It was alleged that Resident #1’s (R1) medication was mismanaged resulting in hospitalization with Diabetic ketoacidosis in December 2020. Administrator Reese denied mismanaging resident #1’s medications. She stated that every time residents take their medication, it is marked on the medication log. Per Administrator and Staff interviews, R1 was medication compliant and had taken all the medications prescribed by the physician including the insulin injection which R1 self-injected. Administrator and Staff stated that R1 had a stroke which left resident with limited mobility, however, was still able to self-administer the insulin daily after returning from the hospital. Administrator stated that in order to retain the resident, he/she needed to be able to administer own injection or have a skilled professional administer it. LPA Chan reviewed Resident #1’s (R1) Medication Administration Record (MAR) from October through December 2020 and it was recorded that all medications were given. According to the hospital records, Resident #1 was admitted to the hospital on 12/10/2020 with CVA (Cerebral vascular accident) and discharged on 12/15/2020. The hospital records indicated there were no acute distress and resident appeared well developed and well nourished. On 12/21/2020, Resident #1 was admitted to the hospital with seizures. After being discharged, Administrator stated R1 returned to the facility and was able to continue administering own medications including the insulin injection.

During the visit today, LPA interviewed 4 residents who all stated that the staff are nice and help with their needs. 2 out of the 4 interviewed are taking medications and both stated that they take their medications daily.