complaint·November 7, 2025

2. Facility staff do not notify responsible person of the resident's change in condition Interview with residents and witnesses revealed that staff would contact responsible party if there are any questions, changes in condition, and/or incidents regarding residents. 3. Facility staff do not assist resident with meals Interview with residents revealed that staff provides meals to residents. Interview with witnesses indicated they have seen staff serving meals to residents as they visit at different times throughout the day. W3 stated staff would cook special meals for those residents who are vegetarian. 4. Facility staff are unable to communicate with resident due to language barrier Interview with residents and witnesses revealed they are able to communicate with staff in English. Witnesses stated staff understands and speaks English. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore these allegations are UNSUBSTANTIATED . No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.