complaint·May 1, 2025

provided by R1’s family states that R1 can have the following: Beverages- 1/2/cup coke, coffee, cranberry juice or water. Menu needs list states that for Breakfast- wheat toast, scrambled egg/ Omelets with potatoes or French toast and for Lunch/Dinner-1/2 bowl of soup, tender chicken beef or fish. Pasta with meat sauce. Sandwich with wheat bread with tuna, turkey or chicken salad. Rice, mashed potatoes, tater tots, peas and carrots. On menu needs list it states No pork, sausage, hot dogs or string beans. No ice cream, milk, pudding, yogurt or tapioca. R1’s physician’s report dated 9/2/2022, is not marked on special diet section. Staff records revealed that cooks at facility all have to maintain a strict “clean as you go” policy, utilize sound food handling practices for the storage and preparation for each menu item and coordinate in checking the next day food production needs, pull and thawing frozen items in a timely manner. Based off interviews with staff, seven of seven staff stated that facility has a Special Diet Needs list posted inside kitchen area for kitchen staff to review while prepping and serving meals to residents. Interviews with staff state that Special Diet needs list get updated whenever a resident is new to facility or if there is a change noted by doctors order. Interviews with Facility cooks state that two of two cooks stated that food is prepped fresh same day, facility rarely uses frozen foods, food and supplies are washed prior to cooks preparing meals for residents. Seven of Seven staff interviewed stated that no residents have gotten sick or had food poisoning due to meals at facility. Interviews with residents stated that five of five residents stated they liked the food served to them at facility, states that they get the option to pick their breakfast and can exercise changes in meals. All resident interviews were conducted with residents who have special diet needs and all residents interviewed stated they have never gotten sick as a result of the food they have eaten at facility. During investigation, LPA Tirre made the following observations: Kitchen staff were wearing gloves while handling food. Floors & tables were cleaned during visit. During tour of kitchen LPA Tirre observed special diet needs list posted inside kitchen area near tray service for staff. LPA observed R1 listed on Special Diets list. LPA observed perishable and nonperishable foods. Foods were observed to be fresh in nature, no mold or expired dates. Food was plastic wrapped and sealed inside kitchen fridges. LPA did not observe any cross contamination or seen any “rotten” foods being served. Based off records review, interviews and observations LPA Tirre is unable to corroborate allegations made that Staff are not serving residents food free from contamination and Due to lack of training staff did not ensure that residents' dietary needs are met therefore although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Steve Shen and a copy of this report was provided during this visit.