complaint·November 7, 2024

During the investigation, it was reported that the resident was not seen by the podiatrist to have his toenails clipped. It was stated by all staff that the podiatrist came to the facility once a month to address podiatry needs. It was reported that the podiatrist came to the facility on short notice and those residents that were present had their podiatry needs met. The resident (Resident 1) attended day program five days a week and therefore did not meet with the podiatrist. When interviewed, staff reported that they did not see the resident’s toenails to make the recommendation for him to see the podiatrist. Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated . Resident's dietary needs were not met . During the interview process, the administrator and seven staff persons were interviewed. It is noted that the previous administrator has resigned from her position and the new administrator was in training when the resident (Resident 1) was residing at the facility. The resident was not interviewed as he has since moved. In addition, documents were obtained to include the Physician’s Report, the Individual Program Plan (IPP), Preplacement Appraisal, Medications List and Service Plan. During the investigation, documents were reviewed to include the Physician’s Report, the IDP and the Service Plan. Of those three documents there was nothing to indicate that the resident was on a “Special Diet.” On the Physician’s Report the physician checked “No special diet,” and on the Service Plan it states, “No assistance with meal reminders or feeding support.” continued The cook stated that she was advised by the family to ensure that the resident received healthy meals to include low carbohydrates, fruit, and veggies. The cook stated that she provided a lunch box for the resident five days a week when he went to his day program and that she gave him a sandwich, fruit, and veggies each day. Other staff interviewed advised that they were not aware of a special diet that they were to monitor. It was indicated that the family requested that the resident be provided with healthier foods, due to his edema, such as vegetables rather than “junk food” to include not having various types of potato chips; however, there was nothing written in the resident’s file to state that he was on a special diet. Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated