It is alleged that resident pushed their call button two times and had to wait 30 minutes for staff to respond. It is also alleged that resident is being punished by staff by not answering to calls from resident due to praising a caregiver for assisting resident.

Staff deny the allegation. Interviews with (6) out of (6) staff revealed that calls from residents get answered by staff. Staff indicated that staff do not make residents wait 30 minutes to respond when they request assistance from staff. Staff indicated that they respond to residents’ calls within five to ten minutes after a call is made. Staff stated that they do not use retaliatory punishment toward residents by not answering their calls when requesting assistance. Staff further indicated that calls from R1 are answered in a timely manner. Staff stated that they are properly trained in care, supervision, and resident rights and also, facility policy mandates that any form of resident punishment violates these rights and must be reported to the proper authorities. Interviews conducted with (9) out of (10) residents revealed that their calls to staff are answered within ten minutes. Residents also indicated that staff do not make them wait 30 minutes to receive assistance. Interviews conducted could not corroborate the allegation that staff do not respond to resident’s call button.

Regarding: Staff are not ensuring the residents are taking medication as prescribed.

It is alleged that resident has not been provided with their medication for approximately six hours.

Staff deny the allegation. Interviews conducted with (4) staff revealed that staff are giving R1 their medication as prescribed. Staff stated that R1 was prescribed "as-needed" (PRN) pain medication following a fall on June 25, 2026. According to physician orders, this medication can only be administered every six hours as needed. Staff indicated that R1 is frequently requesting medication before the safety window closes and staff have to remind R1 that the pain medication is not part of their ongoing routine regimen and can only be taken “as needed.” Staff also indicated that R1’s doctor has prescribed the same PRN in a slightly higher dose so that R1 can take when pain may be more difficult to manage. Staff stated that R1 is given their PRN medication when they request it, but also, staff offer it during medication pass if time indicates that it is appropriate to be administered. LPA reviewed R1’s PRN medication and was observed to be given according to physician’s orders. Interviews with (9) out of (10) residents indicated that staff provide them with their medication as prescribed. Residents also stated that medication is provided by staff in a timely manner. Interviews and record review could not corroborate the allegation that staff are not ensuring resident is taking their medication as prescribed.

Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Kim Griffin, Wellness Director, and a copy of this report was provided.