complaint·September 19, 2025

away from their room. Interview with the Business Office Manager at 3:00 p.m. on 09/18/25 revealed R1 was admitted in November of 2024. R1 was discharged to the hospital and skilled nursing center in February 2025 and returned to the facility in June 2025. They have assisted R1 in replacing their missing items. Record review of R1’s inventory sheet revealed they listed clothing and a cell phone but not their wallet to be safeguarded by the facility. Staff interviewed did not know about R1’s missing belongings nor any other lost or stolen items. Interview with the administrator at 3:45 p.m. on 09/18/25 revealed they did not receive any reports of missing items from R1. Interviews with eleven (11) out of eleven (11) residents revealed the facility had adequately safeguarded their belongings. Based on interviews and record review, there is insufficient evidence to confirm that the facility did not safeguard resident property. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are not meeting residents’ nutritional needs" it was alleged the facility now serves small portions than before. Interviews with seven (07) out of eleven (11) residents revealed the food served is nutritious. Interviews with eight (08) out of eleven (11) residents revealed the portion sizes are sufficient. Interview with Staff #1 (S1) at 9:35 a.m. today revealed portion sizes are standard, and residents are always able to request additional portions. Staff ensure the food served is nutritious and prepared properly. Interview with Staff #2 (S2) at 9:45 a.m. today confirmed that the facility food is nutritious and sufficient in quantity. Interviews with residents and record review of the weekly menu confirmed staff follow the menu. Interview with the administrator revealed the culinary director holds monthly meetings to adjust the menu according to resident requests. LPA observed the breakfast meal served today at 9:30 a.m. to be nutritious and sufficient in quantity. Based on observations, interviews, and record review, the facility meets residents’ nutritional needs with sufficient portion sizes. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety hazards were observed during today's visit. Exit interview conducted. Copy of report provided.