complaint·October 9, 2025

spend about forty-five (45) minutes to assist with medications. Interview with the Wellness Director at 1:00 p.m. on 08/05/25 and Staff #1 (S1) at 1:15 p.m. on 08/15/25 confirmed that staff have spent at least thirty (30) minutes assisting R1 with medications each time due to R1 questioning their medications and refusing some. The Wellness Director and S1 confirmed staff assisted R1 with medications in the correct dosages and timeframes according to physician’s orders. Interviews with eleven (11) out of eleven (11) residents revealed they had no issues with the facility’s medication assistance. Record review of R1’s medication records revealed R1 received all medications in the correct dosages and at the correct times since their admission. Based on interviews and record review, the facility properly assisted R1 with their medications. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are not following a resident’s dietary needs " it was alleged the facility did not accommodate R1’s low salt, no sugar diet. Record review of R1’s medical assessment and preplacement appraisal revealed they were prescribed a low salt, low carbohydrate diet. Interview with the administrator revealed all dietary needs are reviewed by the Wellness Director and communicated to the culinary staff. Interview with the Wellness Director revealed they created a dietary card for R1 so the culinary staff could accommodate their diet. Interview with the Culinary Director today at 3:10 p.m. revealed the facility accommodated R1's dietary needs, though R1 refused the foods offered as they did not like them. Interviews with eight (08) out of eleven (11) residents revealed their dietary needs are met by the facility. Interviews with three (03) out of eleven (11) residents revealed they did not like the alternative foods offered by the facility which met their dietary needs. LPA observed dietary cards stored in a binder in the kitchen today at 3:20 p.m. Based on observations, interviews, and record review, the facility followed R1’s dietary needs. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are not treating a resident with respect" it was alleged Staff #2 (S2) spoke disrespectfully to R1 during the evening of 08/04/25 when assisting with their medication. Interview with S2 at 3:30 p.m. on 09/04/25 revealed they spent at least thirty (30) minutes assisting R1 with their medications. S2 stated they were patient and respectful towards R1, and it was R1 who spoke disrespectfully towards S2. Interview with S1 revealed R1 frequently spoke disrespectfully towards S1 as well during medication assistance times. Interviews with eleven (11) out of eleven (11) other residents revealed they have been treated respectfully by staff. LPA observed staff treating residents respectfully during this visit. Based on observations and interviews, there is insufficient evidence to verify this allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.