complaint·March 25, 2025

Page 2 All 5 staff interviewed provided information on food/meal serve which were of different varieties. They serve corn dog only once or 2x a week. One out 3 residents interviewed provided information consistent with the information provided by the staff. One of the other resident stated food served is always good while the other one does not remember but not have issues/problems on the meals provided. Two other residents refused to be interviewed. ADM stated she does the grocery shopping online of different varieties from different grocery chains and whatever is not available she asks one of the staff to do in-person grocery shopping. LPA inspected the food supplies and copies of menus showed different varieties. Based on inspection and interviews and LPA unable to obtain information from 2 residents, the allegation is closed as unsubstantiated. Allegation: Facility staff are restricting resident's telephone use. LPA conducted inspection and observed both buildings with land line telephones. All 5 staff stated the residents are allowed to use the facility telephone. Two of these staff and ADM stated that for courtesy to other residents who also want to use telephone, they tell the residents to limit their calls to 10 minutes but they can come back to use the telephone again. One of the 5 staff and ADM also stated that the facility also gets incoming calls and at times may need to make emergency calls. One of the 3 residents stated not using the facility telephone because this resident has cell phone. The other 2 residents stated they are allowed to use and not told to limit their calls. The other 2 residents refused to be interviewed. Based on interviews, the allegation is unsubstantiated. Allegation: Facility staff are restricting resident's leisure time activities. RP stated that all electrical devices such as TV, radio, etc, have to be off at 9:00 p.m. to save electricity, even if they are used with a headset. .....continued on 9099 (page 3) Page 3 During inspection, LPA observed residents in both buildings watching TV, while others doing activities coloring book in the dining area. All 5 staff interviewed stated residents are allowed to watch TV as they want. The TV is turned off at night when observed no resident is watching. ADM denied telling the residents to turn off the TV, radio or other electrical device at 9:00 pm to save on electricity. She only tells them to turn down and/or use headset. One out of 3 residents stated they are allowed to watch tv and staff ask to turn off at 8:00 pm but this resident stated still watches TV after 8:00 pm. One of these 3 stated residents are required to turn off the TV at 8:00 pm which is okay with this resident. The other resident stated staff allow them to watch as they want. LPA tried to interview the other 2 residents but they refused. Therefore, the allegation is unsubstantiated. Based on interviews and observation during investigation, the allegations are closed as unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiency cited. Exit interview conducted, and copy of this report provided.