complaint·December 17, 2024

back elevator is slow, but the front elevator works fine. Interview with Resident #2 (R2) at 12:45 p.m. today revealed they were not able to get out of the back elevator a few weeks ago, so they had to use the front elevator. Interview with the administrator at 11:00 a.m. today revealed that necessary maintenance was recently performed by an outside vendor on the back elevator. The administrator has not received any reports of people being trapped inside elevators. Record review of a work order revealed that an outside vendor completed mechanical and safety maintenance on 11/26/24. Based on observations, interviews, and record review, the facility elevators are in good repair today. The facility has performed maintenance in a timely manner as well. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not provide a safe environment for the residents in care” it was alleged that most resident bedroom windows do not have screens, and a stranger entered a resident bedroom causing the resident to feel unsafe. Interview with the administrator revealed they received no reports of residents feeling unsafe or strangers entering through resident windows. Facility tour revealed that all resident bedroom windows had screens attached and were in good repair. Interviews with thirteen (13) out of thirteen (13) residents and three (03) out of three (03) staff revealed they feel safe in the facility and no strangers have entered through their windows. Based on observations and interviews, the facility staff are providing a safe environment for residents. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not adhere to the residents' dietary needs " it was alleged that some residents are unable to eat facility food due to staff not providing a menu which suits their needs. During facility tour, LPAs observed special dietary restriction lists posted in the kitchen around 11:15 a.m. Postings included residents with allergies, pureed diets, chopped diets, low salt diets, and diabetic diets. Also posted were the main and alternate menus for today and the week. Interview with the administrator revealed that current and new resident dietary needs are reviewed, and the dietary restriction documents are updated accordingly. Interview with the kitchen director at 11:25 a.m. today revealed that staff accommodate residents’ dietary needs through preparing modified meals and alternate menus. If residents request different meals or second portions, kitchen staff willingly accommodate their requests. LPAs also saw adequate supplies of perishable and non-perishable foods stored in the refrigerators, freezers, and pantries. Interviews with three (03) out of three (03) residents with dietary restrictions between 12:20 p.m. and 12:35 p.m. today revealed they were served meals according to their modified diets. Interviews with ten (10) our of ten (10) other residents revealed they are able to eat the food served. Based on observations, interviews, and record review, the facility staff are adhering to residents’ dietary needs. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.