Complaint·January 30, 2024

Regarding the allegation ”Staff do not ensure resident is adequately fed” it was alleged Resident #2 (R2) was not fed enough. Review of care notes showed that R2 did not finish their meals at times. Staff interviews revealed R2 refused food that was offered. Staff documented the percentage of the meal R2 ate and supplemented their diet with a nutritional shake. S1 and S2 confirmed that R2 had difficulty with solid foods and staff needed to supplement R2’s diet with nutritional shakes. S3 and S4 mentioned R2’s health declined and enrolled in hospice services. Based on record review and interviews, the facility properly provided food and nutritional shakes to R2, but R2 had difficulty with eating. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation ”Staff do not dispense residents’ medication as prescribed” it was alleged R2 did not receive their medication because it was crushed and mixed into a puree or shake which they did not finish. S3 and S4 stated R2 received their medications in a nutritional shake which was always finished to completion. S5 mentioned they assisted R2 with medications in apple sauce. S5 could not recall R2 ever refusing medication or not taking medication. No medication refusals were noted in R2’s care notes. Based on interviews and record review, the facility properly assisted with R2 taking their medications. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation ”Staff do not treat residents with dignity or respect” it was alleged staff were rude to R1. Interview with R1 revealed they have a good and respectful relationship with staff. R1 said staff were never mean to them. S3, S4, and S5 mentioned R1 was physically and verbally aggressive with staff, but no staff were ever rude or mean to R1. S5 also mentioned staff relationships got better with R1 as R1 got to know staff better. Based on interviews, staff have been courteous to R1 and treated R1 respectfully. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety hazards were observed during this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.