I actually went in with-the intent of simply writing down license #s, but just as I was walking out the door, she stopped me and asked what was going on. I told her I was filling out a complaint report. She saw the heading (the state of VA medication board) and said it was the wrong form--it should be soc. svcs. Plus, she had never met me b4 and I was supposed to go through her, first. She called in the nursing mgr (yes, I have met with-her on more than 1 occasion) and we spent an hr and a half (sigh) going over the list of medications, who admint'd them etc. All but 2 days were accounted for. I told her that didn't mesh with-what I had observed and she told me the P is suffering from dementia. Twice (or was it 3X) I told her that *I* observed the pain levels and the outdated Fentanyl patch. I also was told by head nurses on more than one occasion that the medications hadn't been filled and that they had faxed the dr but the dr hadn't responded. She kept bringing it back to P and then said that the only alternative is that someone deliberately initialed the file when there were no medications and that could be loss of job, license, etc. I said, "I know. That's why I was filling out this complaint form." "But that is very serious and very rare and we have all of the best people." "I've seen it done before. I went to court when an employee I hired for P at ZZZ nursing ctr didn't even show up and billed for it. I've gone to court b4 and I can do it again." She seemed unfazed but she did have one good idea--change doctors. So I immediately authorized a new dr, on her recommendation, and that paperwork will go through Friday. I will call his ofc personally. I asked her if it was normal for family members to sit out in the car and call the dr to make sure that the faxes went through and the orders were filled and she said yes. Sigh. She suggested checking the medication file, notes, and packets herself, with-me at her side, every wk for the next mo while the new dr is writing scrips, and I said "I'm already doing that and I'm tired. I even called at midnight one night and bit the nurse's head off. I was out of town. I shouldn't have to be doing all of your jobs." So for the time being, I will not send in THAT report. However, she really stonewalled when I complained about the medication nurse who yelled at P last wk, so much that P threw up. "Oh, she's gotten nothing but good reports from all of the familes." I said, "Not from this one." I didn't mean to be snotty, but instead of immediately coming to her defense, why didn't she just LISTEN and shut up? She told me I am not supposed to have the nurse's license #s so I dutifully crossed them out. I have no idea why she said that, but when it comes time to file the paperwork (and I can see, I will probably end up filing) I'll just get someone else to do that part for me. She said I'm only supposed to have her lic # and the bldg license. And I was supposed to come to her. I didn't know that. I thought I'd gone to the top. (I didn't know I had to take a test in order to pay over $4,300/mo so that my cousin could have a small apt, grilled cheese sandwiches, and Nurse Ratchet on call.) So she gave me her cell ph # and is certainly on the ball now. I also told her that the Visiting Angels caregiver had already written a report to her supervisor about P throwing up after she'd been yelled at, and the admin scoffed and said, "Oh, I'll call her. We're really good friends. Her name is ... what is her name?" And so what if they're friends? What's that got to do with-the price of bread? Lots more, but that's the gist of it. by the way, I'm now wondering if I should have confronted Nurse Ratchet myself, but she's so unpredictable, I truly think it would have been a waste of time. She smiles and assures you that everything is fine and then stabs you in the back. What's the point? I told the admin that she cannot be re-trained. It's not a training issue. It's an attitude. I can guarantee you, that fell on deaf ears. If you missed the backstory on this, I'm sure you can look up something like, "I'm getting a nurse fired," and "P's pain medications" and "Arrrrgh! Assisted Living and P" or something.