complaint·April 1, 2022

Regarding Allegation: Staff does not provide adequate food service for residents. RP stated that R1 has a modified diet prescribed by the doctor due to high blood pressure, and diabetes. Rp states that the facility serves high salt food content such as soups, lots of Pork, and does not serve fresh fruits or vegetables. Record Review of R1 revealed that a modified diet was indicated of liquid, but did not indicate by a physicians prescription perimeters of food other than liquid. On 04/01/22 during physical tour LPA observed Fresh foods such as cabbage, lettuce, tomatoes, onion, bananas, orange, apples, celery, bell pepper, bread, snap peas, milk, apple sauce, oatmeal, cantaloupe, and some chicken, pork, frozen veggies, in the freezer. Record Review of other clients in care physician’s report revealed that no other residents have a modified diet. Therefore, Based on LPA’s Observation, Record Review, and Interviews the Department Finds that “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.” Regarding the Allegation: Resident Care Needs are not being Met RP stated that the facility’s female staff did not want to help assist R1 with toileting and change of diaper, because staff felt it was inappropriate, in turn causing r1 to have to wait until a male staff was available. House Manager stated that they respect the privacy of residents, and that if resident feels comfortable either sex of a care giver they will move forward with assisting. LPA interview residents r2-r3. R2, and R3 stated that they don’t have any issue with staff assisting with their needs. R2, and R3 stated that they feel comfortable with male and female caregiver’s assistance and receive both. Based on LPA’s Observation, Record Review, and Interviews the Department Finds that “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.” Regarding the allegation – Residents are not being provided activity’s Reporting Party stated that activities are not being provided, just TV’s. The compliant was made during Covid-19 Pandemic in which social distancing was recommended, and limited interaction with others due to the virus. Interviews with House Manger revealed that activities that are being offered at this time are walks outside, Gardening, and the facilities has board games. 3 of 4 residents are Non ambulatory, and choose not to participate. Interviews with Resident 2 (R2) revealed. That they Garden and go for walks. LPA observed a Bowling Game in the dining room, and outside garden area. Based on Interviews, and observation, Record Review the Department finds that “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.” Regarding Allegation: Facility's ramp poses a hazard to residents LPA observed virtually that the ramp was in good condition on 07/09/20 that the front ramp was in good condition and had been repaired prior to the complaint. LPA Observed on 04/01/22 during physical tour, that the Ramp in question was still in good condition. Therefore; the department finds that “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.” ***** Continued on 9099 C**************** Regarding Allegation: Staff not informing resident's authorized representatives of incidents involving resident. Reporting Party stated that they were not notified of a fall, that did not result in hospitalization. Interviews with staff stated that in a life or death situation or hospitalization the proper authorities such as 911 is notified, Administrator, and responsible party. Responsible parties will be notified if the facility staff observes things on a resident that maybe detrimental to their health. Interviews with residents R2, And R3 care generally stated that they have no family or friends to be contacted in case of emergency. The witnessed fall from R1 did not result in injury or hospitalization. Therefore: Based on Record Review, observation, and Interviews the Department finds that “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.” Regarding Allegation: Staff unable to communicate with resident due to language barrier Interviews with House Manger stated that all Caregivers can speak English, as well as all residents in care who are verbal. Interviews with Resident 2, and 3 Generally stated that they are able to communicate with staff, and have their needs met. During the physical visit LPA observed Caregivers communicating effectively with residents in care. Therefore; Based on Record Review, observation, and Interviews the Department finds that “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An Exit Interview Conducted and copy of this report was provided