complaint·January 14, 2026

Resident interviews revealed 6 of 8 interviewed residents stated they do sometimes wait for extended periods of time for staff to respond. LPA interviews with staff revealed that staff are expected to respond to resident calls for assistance within 5-10 minutes. Staff reported that there are times that residents have to wait for extended periods of time to receive assistance since staff are helping other residents. Staff also stated that the call system does not always function properly, sometimes losing signal and other times they forget to follow through with re-setting residents pendant/alert devices. Review of facility call system records for resident calls from 09/2025-10/2025 revealed pendant calls with response times varying from 5 minutes to over 60+ minutes. Based on interviews conducted and record review, at this time the above allegation was found to be substantiated, there is a preponderance of the evidence to prove that the alleged violation occurred. See 9099-D for deficiencies. Exit interview conducted. A copy of the report and appeal rights were issued. The supply of perishable and nonperishable food observed found it to be adequate and of substantial variety. The LPA observed a variety of meats, fruits, vegetables, grains, and liquids. The facility had a variety of both hot and cold meal options. Eight (8) of eight random residents interviewed reported to be very satisfied with the facility food quality and quantity. Interviews revealed that if a resident does not like a meal, they are offered a different option. In general, interviews revealed minimal complaints as it pertains to adequate food service. Based on the information obtained, there is insufficient evidence to support the claim that " Staff do not provide adequate food service". This allegation is deemed Unsubstantiated at this time.