complaint·June 23, 2022

Appraisal/Needs and Services Plan, Resident Assessment (06/02/20), Narrative Charting (05/04/20, 06/02/20, 06/03/20, 06/04/20, 06/05/20, 07/18/20), Individual Service Plan (IPP) (dated 06/02/20), and Assessment Plan. Regarding Allegation #1 : this investigation revealed that the facility was following all state/county recommendations during the COVID-19 pandemic protocol. It included limiting the number of residents in activities, facilitate social distancing, and outings. The residents were to limit their trips out of the community in accordance with local guidelines. The facility modified events (i.e., in-room activities and limited small groups). The caregivers provided activities to the residents by going around each of the residents’ rooms and offering activities; such as: Zen coloring, exercises, word search/sudoku, music/guitar playing, in-room games (Uno, dice games, cards), various room crafts, and movies. A review of the facility’s Activity Calendar (December 2020) documented activities for the residents – including a holiday schedule of events on 11/12/20, 11/26/20, 12/10/20, 12/17/20, 12/18/20, 01/01/21. The majority of interviews conducted, corroborated that it was understood that this was a way for the facility to provide activities and still keep social distancing within the pandemic protocol. Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of OTHER: Residents are not being provided activities is found to be UNSUBSTANTIATED. Regarding Allegation #2 : this investigation revealed to ensure meals reached the residents as hot as possible, insulation boxes were used to keep the food warm. The meal trays were delivered in smaller batches per trip. Facility staff would make half trip deliveries instead of whole trip deliveries. The majority of interviews conducted, corroborated that the meal delivery was being served in “to-go” style (Styrofoam containers with plastic utensils, cups, and paper napkins) during the situation surrounding the Coronavirus when the dining room was shut down for communal dining. The majority of staff interviewed, corroborated that they did not receive complaints from residents regarding his/her meal being served cold. During the holiday a special meal was provided on Christmas Day; and, the residents had been notified prior to this holiday event – which included Christmas caroling to the residents. A virtual tour of the facility’s physical plant included the kitchen, dining area, food supply; and, a review of the facility’s menus were all in compliance. Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of FOOD SERVICE: Staff are not providing adequate food service is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report was provided to Administrator (Pamela Parsons).