Complaint·December 29, 2025

On 12/22/25 from 11:00 am- 1pm LPA conducted Interviews with R2- R10 regarding the allegation above. 5 of 9 residents interviewed denied the allegation above and stated that staff assist as needed and staff provide reminders the day before the upcoming appointment. 4 of the 9 residents interviewed reported they do not need assistance with getting ready for appointments. Additionally, 5 of the 9 residents interviewed reported that the facility provides transportation to appointments, 4 of the 9 residents interviewed reported that they do not obtain transportation from the facility if the transportation calendar is fully booked. On 12/22/25 and twice on 12/29/25 LPA attempted to interview R1 but was unsuccessful. On 12/22/25 and 12/29/25 LPA conducted interviews with S1-S6 regarding the allegation above. 5 of 6 staff interviewed denied the allegation above and reported that the staff provide a reminder to residents about upcoming appointments, staff also assist residents get ready for the appointment prior to staff bringing resident down to the lobby to wait for transportation. 1 of 6 staff confirmed the allegation above and reported that there is a lack of communication regarding scheduled appointments, and states that due to lack of communication staff do not have enough notice to get residents ready in a timely manner. On 12/29/25 LPA conducted a review of facility notes dated: December 19 th , 2025, LPA observed that an updated schedule for weekly appointments was provided to R1 as R1 arranges own transportation. On 12/29/25 LPA conducted a review of needs and service plan dated: 9/8/25. Per service plan, R1 needs ongoing assistance with care coordination with outside healthcare and home care providers. Additionally, service plan states care team supports R1 with receiving quality healthcare services by helping coordinate healthcare appointments. Allegation: Staff do not ensure that residents’ dietary needs are met. It is being alleged that staff have failed to provide resident in care with food prior to weekly scheduled appointments. On 12/22/25 from 11:00 am- 1pm LPA conducted Interviews with R2- R10 regarding the allegation above. 6 of the 9 residents interviewed denied the allegation above and reported having meals prior to leaving for a scheduled appointment. 2 of the 9 residents interviewed confirmed the allegation above and reported not having a meal prior to scheduled appointment. 1 of 9 residents interviewed stated that they sometimes have a meal as it depends on appointment time. On 12/22/25 and twice on 12/29/25 LPA attempted to interview R1 but was unsuccessful. On 12/22/25 and 12/29/25 LPA conducted interviews with S1-S6 regarding the allegation above. 6 of 6 staff interviewed denied the allegation above and reported that residents are provided with a meal before appointment, or are provided with a packed meal, or are saved a meal for when they return.On 12/29/25 LPA conducted a review of needs and service plan dated: 9/8/25. Per service plan, R1 requires a special diet. On 12/29/25 LPA conducted a tour of the kitchen facility, LPA observed all special diets, and dietary needs are printed and displayed on kitchen wall. The Kitchen staff also have a binder with all residents and their dietary needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, and a copy of this report was provided.