complaint·January 15, 2026

Copies of records relevant to the investigation was requested and reviewed. On 01/15/2026, a subsequent visit was conducted, and additional residents (6) were interviewed from approximately 12pm-1pm. Residents were observed in the dining room as well. LPA toured the kitchen at approximately 2:45pm. Following is a summary of the investigation finding: Regarding allegation “Staff did not ensure resident's dietary needs were met.”: LPA interviewed Administrator, staff, and resident #1 (R1). LPA also interviewed other residents, reviewed R1’s records and facility menu. R1 confirmed that they do manage their own medications and diet. R1 reported that the facility does not have a variety of options for diabetics. R1 reported that they have had five hospital visits in recent months due to high blood sugar levels. Interview conducted with R1, staff and records reviewed revealed that R1 is alert/oriented x3 and able to make own decisions. R1 was hospitalized once on June 9th, 2025, and once on December 6th, 2025, due to dizziness and nausea. R1 does have type 2 diabetes, however, does not have a prescribed diet to be followed at this time. R1 stated that they are currently working on changing physicians. R1 stated that the facility offers sugar free snacks, however R1 does not like the options. R1 did confirm that the facility offers alternative meals however they are tired of eating steamed vegetables, salad with protein or sandwiches. Administrator reported that R1 is independent and able to manage own medications and diet. Administrator confirmed that R1 does not have a prescribed diet at this time. Administrator recalled an incident discussed with R1 on or around 12/22/2025, where kitchen staff made a mistake and served R1 meat covered in sauce. Administrator informed kitchen staff to provide all sauces on the side moving forward. According to the cook and administrator, alternative items such as a salad with/protein, vegetables or a sandwich is always available, and regular meals can also be served with or without sauce when requested a head of time by residents. Random residents interviewed reported being satisfied with the facility food service at this time. Based on the above information gathered, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff did not ensure resident's dietary needs were met” is deemed unsubstantiated at this time. Exit interview conducted. Copy of report provided.