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32 | R1 stated they contacted their doctor, but the medication issues persisted. Interview with Wellness Director Olga Morales (WD) indicated that R1 frequently refused medications. WD explained that R1’s doctor instructed staff to continue offering the medications and document all refusals, emphasizing the refusal of medication could lead to increased seizures. Interview with Witness 2 (W2) confirmed that R1’s doctor attempted to adjust R1’s medication regimen, but R1 continued to refuse the changes. W2 reported they had spoken with R1 to encourage medication compliance and had offered assistance with scheduling additional medical appointments; however, R1 refused the offers. Interviews with five out of five residents corroborated that staff administer medications as prescribed and residents had no concerns regarding medication administration. A record review was conducted and revealed R1 refused 55 medications from a sample size from April 1, 2026 through April 7 2026. Additional medication records reviewed from January 2026 through March 2026 had similar results of R1 refusing medication frequently. Additionally, R1 is not under a conservatorship and is listed as self for responsible party indicating they make their own decisions.
Regarding the allegation that facility staff did not provide meals to a resident in care, it was reported that R1 was not receiving meals at the facility. Attempts were made to interview Additional Witness 1 (AW1) for further information; however, AW1 did not respond to the requests. An interview with R1 revealed that they receive their daily meals at the facility. R1 was unsure whether they were on a prescribed diet but stated the facility is aware they dislike pork and reported they accommodate his preference. Interview with Executive Director Molly Bowie reported she was not aware of any concerns regarding R1’s meals and confirmed she frequently observed R1 in the dining area. Interviews with two of two staff members corroborated ED statements indicating that R1 has not expressed an issue with the food or that they are not receiving meals. Additionally, Staff 2 indicated that the kitchen staff are aware of R1’s food preferences and make accommodations accordingly. A record review was conducted, and information obtained indicated that R1 is not on a prescribed diet. Additionally, a chart posted in the facility kitchen listing residents' diets and food preferences was reviewed. LPA Perez observed R1’s name on the chart, noting that pork was listed as a food item not to be served.
Based on interviews, research, and record review, the allegation that facility staff did not administer medication to a resident in care and staff did not provide meals to a resident in care is unfounded. A finding that the allegation is unfounded meaning that the allegation was false, could not have happened, and/or is without a reasonable basis. Therefore, this complaint is dismissed.
An exit interview was conducted. A copy of this report was provided to Executive Director Molly Bowie.
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