complaint·April 30, 2026

R1 was discharged from the facility prior to a therapist coming out to the facility. Administrator did not receive physician order to add thickener to R1’s liquids, but administrator was working in her scope of practice, and a physician order is not required to add thickener to resident’s water. Due to the information gathered, LPA finds allegation to be UNFOUNDED. LPA investigated allegation, “Length of time between dinner and breakfast does not meet regulation”. The department interviewed relevant party, administrator, and current residents in the facility. Relevant party indicated that dinner was being served at 3 PM, and no food or liquid was provided to residents until the following morning. Administrator stated that breakfast is served around 7-7:30 AM, Lunch around 11:30 AM and dinner around 4:30- 5 PM, and snacks are available and served throughout the day and evening. LPA interviewed caregiver who stated the same timeline. LPA interviewed 1 current resident, and they stated breakfast is served around 7:15 AM, Lunch around 11:30 AM and dinner was served around 4:30-5 PM. Resident stated there is sufficient food, and snacks served throughout the day. LPA toured the kitchen area and observed 2-day perishable and 7-day non-perishable amount of food. Due to the information gathered, LPA finds allegation to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted and copy of report provided.