complaint·July 12, 2024

During interviews with residents, all interviewed residents, including Resident #1 (R1), stated that the food is great and are unaware of being served expired or leftover food. LPA was unable to interview one (01) out of four (04) residents. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff retained residents with a prohibited health condition It was alleged that residents in the facility are on gastrostomy tubes. To investigate the allegation, on 07/12/2024, LPA conducted a physical plant tour at around 10:15 AM, requested documents at around 11:15 AM and interviewed two (02) staff from around 11:15 AM to 12:00 PM. During the physical plant tour, LPA did not observe gastrostomy tubes as residents were covered. A review of the Admissions Agreement and Hospice Plan of Care which indicates dates of admission and that Resident #2 (R2) and Resident #3 (R3) were admitted to the facility under hospice care with a plan of care for their gastrostomy tubes. During interviews with staff, all staff stated there are two (02) residents in the facility with gastrostomy tubes. Staff #1 (S1) added that residents were on hospice when admitted to the facility with nursing plan of care and were never in the facility as a standard client. Although gastrostomy tubes are deemed a prohibited health condition, facility has Hospice Care Waiver and is not required to submit written exception requests for residents or prospective residents with restricted health conditions as the residents have been diagnosed as terminally ill and are receiving hospice services in accordance with a hospice care plan and the treatment is specifically addressed in the hospice care plan. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards were noted during the visit. Exit interview conducted and a copy of the report was issued.