complaint·May 6, 2025

According to the kitchen cleaning schedule, daily cleaning is conducted, and staff are required to initial the log upon completion. A review of facility records confirmed an active pest control contract with Official Pest Prevention. The facility receives bi-monthly interior and exterior treatments. Invoices reviewed from 01/04/24 to the present detail the services provided, including target pests and treatment dates. Interviews were conducted with 9 out of 9 residents. All residents reported that the dining area is clean and that they have no concerns regarding kitchen or dining room sanitation. All nine residents also confirmed that kitchen staff consistently wear gloves and hairnets when serving food, both in the dining room and during in-room meal deliveries. Seven of the nine residents reported not seeing any roaches, although a few mentioned seeing spiders in their rooms. However, 7 out of 9 residents expressed dissatisfaction with the food quality and felt that their dietary preferences were not being met. Interviews with 5 facility staff members were conducted, and all denied the allegations. It was alleged that staff were not meeting residents’ dietary needs. This investigation consists of observations, interviews with staff and residents and a review of facility records. LPA Lee visited the facility on 03/18/25, 04/01/25, and 05/02/25. During these visits, LPA observed kitchen staff placing dietary slips on meal trays to ensure that residents with special dietary requirements received appropriate meals when being deliver to residents in their room. Additionally, residents with special diets were observed being served first in the dining room. LPA Lee interviewed 7 out of 9 residents, all of whom expressed no concerns regarding the staff’s not meeting dietary needs and stated that they don’t like the food being served to them. Furthermore, all 5 staff members interviewed denied the allegations. Records review revealed that when Med Techs receive diet orders signed by the residents’ physicians, the Med Techs then will complete a dietary communication form and provide it to the kitchen supervisor, who then updates the dietary information on the kitchen board. This board lists all residents with specific dietary needs to ensure that all kitchen staff are aware of the residents’ dietary needs. Moreover, a copy of the diet type report and signed order is also placed in the Health Services Director’s (HSD) box for updating the Point Click Care (PCC) portal. The HSD is responsible for updating the PCC portal with any changes to dietary orders. As an additional measure, kitchen staff follow up with the HSD monthly to confirm the accuracy of dietary order lists and ensure compliance with residents’ dietary requirements. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.