complaint·February 12, 2026

Allegation: Staff does not follow resident’s dietary needs . It was reported that staff are providing fried food. RP stated dietitian, RP cannot have fried food. To investigate this allegation LPA conducted a review of Residents files, interviewing staff and residents, and observing meal service during the visit. LPA reviewed R1’s Physician Report LIC602A signed by the physician and dated on 1/27/26, which indicated that R1 has a diagnosis of diabetes and requires a restricted diet consistent with diabetic dietary guidelines. During the visit, LPA observed the breakfast served to R1. The meal consisted of scrambled eggs mixed with spicy pork Mexican sausage, yogurt, white bread, and coffee. Although the portion size was adequate, the meal was high in sodium and included items not appropriate for a diabetic or restricted diet, specifically the spicy pork sausage and white bread. LPA interviewed one (1) caregiver, who stated he/she was not fully aware of R1’s dietary requirements and generally prepared meals without customized dietary needs. LPA attempted to interview four (4) residents. Two (2) out of four (4) residents (R1 and R2) who agreed to answer questions, reported no concerns with food portions. However, R1 stated that staff do not ask for meal preferences and typically serve whatever is prepared, without regard to dietary restrictions. LPA also interviewed the administrator, who confirmed that the facility maintains a sufficient supply of food. LPA suggested Administrator to review all residents' files/records and follow dietician orders. Based on record review, observation, staff and resident interviews, and the administrator’s statements, there is sufficient evidence to support the allegation that staff does not follow residents’ dietary needs. Therefore, the allegation is Substantiated. A Deficiency is being cited on the LIC9099D. Exit interview conducted and copy of this report signed and delivered. Allegation: Staff does not provide nutritious meals for resident. It was reported that staff does not provide nutritious meals for residents. To investigate the allegation, LPAs conducted interviews with staff, the administrator, and two (2) out of four (4) residents who agreed to be interviewed. LPA also conducted a tour of the facility and observed meal service. During interviews, one (1) of the two (2) residents interviewed (R2) stated that he/she had no complaints or concerns regarding the meals and believed the food provided was nutritious. Resident 1 (R1) reported that meals were not nutritious and stated that no fresh fruits or vegetables were provided. To further investigate the allegation, LPA conducted a tour of the kitchen and food storage areas. LPA observed that the facility had a fully stocked supply of food, including sufficient quantities of perishable and non-perishable items. LPA also observed the breakfast served to R1 during the visit. Although the meal provided was not what R1 requested, it was observed to have an adequate portion size and appeared nutritious. Interview with staff indicated that the facility consistently maintains sufficient food supplies and that meals are prepared daily. Based on interviews and observations, there is insufficient evidence to support the allegation that staff do not provide nutritious meals for residents. Therefore, the allegation is deemed Unsubstantiated. Exit interview conducted and copy of this report signed and delivered.