Complaint·October 22, 2025

On 10/22/25, Licensing Program Analyst (LPA) Kevin Mknelly spoke to caregiver, designee to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted interviews. LPA finds that the allegations cited above are substantiated. For a period of time there was some confusion and inconsistencies regarding an ointment and cream regiment for a wound to R1's head that lead to R1 not receiving medications as prescribed. The orders have since been clarified and the situation is resolved. R1 has a physician's order for a high protein diet for healing wounds that have been present at admission. Facility staff did not have a written plan to ensure protein intake and integrated R1's food preferences. A written plan is now in place and R1's preferences are accomodated. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed withdesignee . Copy of this report and appeal rights provided.