Complaint·April 28, 2026

The investigation revealed the following: Allegation: Staff does not ensure that resident is adequately fed while in care. The detail of the complaint alleges R1 is only given a small portion of food and doesn't appear to be eating well. On April 28, 2026, the department interviewed Wellness Coordinator (A1) who denied the allegation stating that there has been no report of R1 not getting enough food here. A1 further stated that R1 was a “good eater” that he was given snacks or extra food when he requested it. Lastly, A1 stated that residents could ask for "seconds" of meals if they wanted and his staff would provide it. On April 28,2026 between 12:30pm and 1:30pm the department interviewed 4 staff (S1-S4) regarding the allegation and 4 out of 4 denied the allegation stating that residents are adequately fed at the facility. 4 out of 4 stated that if residents ask for extra food or snacks they are available to them. Lastly, when asked what happens if a resident refuses food, 4 out 4 staff interviewed stated that they have an alternative meal option for the residents. Lastly, 1 of the 4 staff interviewed informed the department that she follows a recommended portion spread sheet that is from a Registered Dietician however, it can be adjusted based on the preference and need of the resident. On April 28, 2026 the department interviewed 6 residents (R2-R7) regarding the allegation 6 out of 6 denied the allegation stating that get enough to eat and if they wanted “seconds” they are given "seconds." When asked if they have access to snacks, 6 out of 6 stated that they are offered snacks. Lastly, 6 out of 6 residents interviewed stated that they are well taken care of and the staff assist them when needed. Page 2 of 4 On April 28, 2026, the department obtained, reviewed and evaluated the following documents: Resident Roster (dated: 4/22/26), R1’s medical reports (dated: 9/8/23) R1’s pre-appraisal (dated: 9/9/23) R1’s Needed and services plan (dated: 9/9/23), Dietary Request form (dated: 9/8/23), Medication Orders 9/8/23 Physician orders (9/8/23), and Menu (March 2026) On April 28, 2026 during tour of the facility, department observed meal service and noted the portion sizes were adequate and well balanced. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Allegation: Staff does not meet resident's grooming needs. The detail of the allegation alleges that on 11/25/23 R1 was observed as not well groomed On April 28, 2026, the Department interviewed Wellness Coordinator (A1) who denied the allegation and stated that there were no reports of R1 not being well groomed. A1 further stated that he observed R1 daily and there were no issues in that area. A1 stated that he would have addressed it that was an issue. Page 3 of 4 On April 28, 2026, the department interviewed 4 staff regarding the allegation. Of those interviewed 4 out of 4 denied the allegation citing that they follow a shower schedule for the residents and that all residents are properly groomed. On April 28, 2026 the department interviewed 6 residents and of those interviewed 6 out of 6 state they are well care for and their grooming and hygiene needs are met. On April 28, 2026, the department observed that the residents were adequately dressed and properly groomed. On April 28, 2026, the department obtained and reviewed a copy of the facility shower schedule and found it to be consistent. Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Page 4 of 4