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32 | Of the staff interviews conducted, 3 out of 3 staff report they have never instructed or been instructed to give unprescribed medication to residents in care. Medications are bubble packed and stored in a locked room and in a locked cabinet, and MAR system is actively utilized and maintained. Therefore the allegation that staff are giving out unprescribed medication to residents in unsubstantiated.
It was alleged that caregivers did not meet the requirements to administer medication to residents.
Of all of the residents interviews, 2 out of 2 residents report they have never observed the facility having untrained staff administer medication. Of all of the staff interviews conducted, 3 out of 3 staff report they have never had or observed untrained caregivers administer medication. Based on all information gathered including interviews with staff and residents, review of medication training records, MARS, and observation of medication administration procedures, there was no indication that staff failed to meet the requirements for administering medications. Investigation revealed that only designated staff are permitted to administer medications. Medications are maintained in bubble packs, and designated staff prepare the medications in cups before hand them to caregivers, who then provide the medications to residents. Review of records confirmed the most recent medication training was conducted on 04/19/2026. Therefore, the allegation that staff do not meet the requirements to administer medications to residents in care is unsubstantiated.
Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.
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