complaint·March 26, 2025

The investigation revealed the following: allegation: Staff are not meeting resident's dietary needs. It is being alleged that staff stopped grinding food for resident in care. On 03/26/25 from 10:20am- 12:15pm LPA conducted Interviews with resident # 1-6 (R1-6), 5 of 6 residents interviewed denied the allegation above, and reported having no issues with the meals being served. 1 of 6 residents interviewed confirmed the allegation above and stated the dinner provided is not being grinded. On 03/26/25 12:15pm-1:30 pm LPA conducted interviews with ED and staff #1-5 (S1-S5), 6 of 6 staff interviewed denied the allegation above and reported meals are provided as indicated by Doctors orders. 6 of 6 staff interviewed reported there is a board in the kitchen that list what diet is needed per resident. On 03/26/25 LPA toured the facility kitchen, LPA observed a large board next to kitchen line that has residents picture along with dietary restrictions and/or modified diets. LPA also observed alternative menus placed in the dinning room that residents can choose from if they want a different meal then what is being served. On 03/26/25 LPA conducted a file review and observed R1 to have a diet clarification form dated: 2/28/25, which indicates a mechanical soft, finely chopped diet. LPA observed there was an order for a swallowing evaluation to assess for any potential concerns related to diet, however it is documented that the resident and responsible party refused. Allegation: Staff isolated resident. It is being alleged that facility staff placed a resident on isolation without informing the resident why. On 03/26/25 from 10:20am- 12:15pm LPA conducted Interviews with resident # 1-6 (R1-6), 5 of 6 residents interviewed denied the allegation above. 1 of 6 residents interviewed confirmed the allegation above and reported being on isolation for 3 weeks without reason. On 03/26/25 12:15pm-1:30 pm LPA conducted interviews with ED and staff #1-5 (S1-S5), 6 of 6 staff interviewed denied the allegation above and reported isolation occurs when it is order by a Doctor. On 03/26/25 LPA conducted a file review and observed documented communication dated 2/28/25 that resident would be placed on isolation for medical condition from 02/28/25-03/04/25 per MD, documentation also indicated responsible party was notified of the isolation order. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, and a copy of this report was provided.