complaint·May 17, 2024

physical plan tour. Between 1:00p.m -1:30p.m. LPA interview S1 and S2 was not available to be interviewed during this visit. Prior to this visit on 05/16/2024 LPA Antonia Alvizar-Ettima reviewed the information and the documents previously obtained. 1. Staff do not provide adequate food service to residents. It was alleged that facility food is low quality and not nutritious it is sometimes burnt, tough and the veggies and baked potatoes are served undercooked. Staff interviews reveal that they have not received any complaints about inadequate food service. Facility provides an alternative menu if residents do not like what is being server for the day. ED indicated that cooks are always making sure the food menu is created with residents’ favorites and well prepared and they are open for residents suggestions. During interview R1 indicated that staff do not provide adequate food service. Interview with six (6) out of sixty-six (66) residents revealed that sometimes veggies are overcooked. Overall, the food is okay. When residents address their concerns about the food, the cooks resolve the issues. Residents interviews confirm that facility has an alternative menu which is available per residents’ request. A review of facility main menu and alternate options supported the information provided by the staff. Based on observation, interviews and documents review there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. 2. Staff do not answer residents' call buttons in a timely manner It was alleged that R1 pull they cord four (4) to five (5) times and staff do not answer because there are not enough staff in the facility. During inspection LPA randomly selected seven (07) out of sixty-six (66) residents and the call buttons were tested in their rooms. All call buttons appeared to be functional, and LPA observed staff answering to call between three (3) to five (5) minutes. Staff interviews reveal that they do answer residents’ call button in a timely manner. The medication room has a phone, and the med-techs walk around the facility with a cordless phone answering calls. The other departments have walkie talkies to communicated and respond to the call button calls. ED indicated that they manage calls to audit night shift to see if staff answer calls. Six (06) out of seven (07) residents confirm the information received from the staff. Only one resident (R1) addressed their concerns regarding call button. R1 was unable to provide specific details to clarify when the staff did not respond to the calls. Based on observation and interviews there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. 3. Staff stole residents' belongings It was alleged that staff (S1 and S2) stole R1’s sweater and winter pants with Mickey Mouse on them. Staff (S1) interview reveal that R1 has not reported missing a sweater and winter pants with Micky Mouse on them. S2 was not available to be interview at the time of this visit. ED indicated that if residents report missing belongings, first thing staff does is ask questions pertaining to the belongings. They then ask for permission to look through their stuff if not found. All staff members are informed about missing clothing. ED stated that no resident reported a missing sweater and winter pants with Mickey Mouse on them. Six (6) out of seven (07) residents interviewed during investigation had no concern about their personal belongings. R1 indicted that their belongings were missing, but they were unable to specify why it was not reported to the staff. The staff interviewed during investigation, denied stealing residents belongings. LPA reviewed R1’s Resident Personal Property and Valuables document and no personal items were recorded. Based on interviews and record review, there is an insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazard is noted during this visit. Exit interview is conducted and copy of report was provided to Executive Director.