complaint·December 14, 2021

Allegation #2, that "Staff does not ensure resident's dietary needs are met" has been unsubstantiated based on the interviews conducted and observations made. On 9/4/20 R1 told LPA Berry that they were receiving meal service in their room. On 12/14/21 at 11:00am LPA reviewed R1's file and did not observe any evidence that R1 was supposed to receive a special diet. LPA interviewed R1 and 11 other residents on 12/14/21 and both R1 and the 11/11 residents interviewed confirmed that they are receiving appropriate meal service at the facility. Allegation #3, that " Staff locked resident in their room," has been unsubstantiated based on the interviews conducted and observations made. On 9/4/20 LPA Berry interviewed R1, who stated that they are asked to stay in their room by staff in accordance with the facility's Covid outbreak mitigation procedures. A virtual tour conducted by LPA Berry on 9/4/20 confirmed that resident rooms only lock from the inside and not the outside. On 12/14/21 LPA toured the facility and did not observe any evidence that residents are locked in their rooms. 11/11 residents interviewed and 3/3 staff interviewed denied the allegation. Report reviewed, signed and delivered. Exit interview conducted, no deficiencies cited.