Complaint·September 9, 2025

Staff #1 (S1) added that on the evening in question, R1 needed a two (02) person assist to transfer so R1 waited approximately ten (10) to fifteen (15) minutes for the additional staff. During interviews with residents, eight (08) out of ten (10) stated staff respond to call button in a timely manner and the remaining two (02) stated staff take an extended time to respond to call buttons. Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. ---Facility staff are not adhering to resident care plan. It was alleged that R1 often receives items like lettuce that R1 cannot eat and staff fail to cut up R1’s food as specified in the care plan. To investigate the allegation, on 08/06/2025 LPA conducted a physical plant tour and requested documents at around 11:00a.m. LPA interviewed four (04) staff from 12:00p.m. to 1:30p.m. and ten (10) residents from 1:30p.m. to 3:00p.m. A review of R1’s Needs and Service Plan states in part that R1’s food is to be served cut, deboned and free from mixed fresh vegetables. During physical plant tour, LPA observed R1’s lunch which was according to the agreed upon care plan. The food was cut up, deboned and LPA did not observe mixed vegetables on the plate. LPA also observed special laminated posters throughout the kitchen notifying kitchen staff of R1’s preferences. During interviews with staff, all staff stated they follow the food plan as agreed upon with R1’s responsible party. Staff #2 (S2) added they are trying their very best to accommodate all of R1’s requests. During interviews with residents, all residents stated they feel facility is following care plan. Based on observations, record review and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted and a copy of the report issued.