Complaint·February 26, 2025

On multiple visits to the facility, the LPA observed the facility’s dining service, and inspected the facility’s food supply. There were no immediate concerns with the quality of food observed by the LPA during these visits. It was alleged Staff did not provide sufficient food. Interviews with staff and residents revealed the amount of food provided was sufficient. Prior to serving the food, staff would confirm with each resident the portion size desired. Residents were able to request additional servings and there was no concern with lack of food. Interviews also revealed there were snacks placed throughout the facility and were accessible to the residents. During multiple visits to the facility, the LPA inspected the facility’s food supply and determined there were no concerns with the amount of food at the facility. The LPA also toured the facility and witnessed mini fridges with yogurts, parfaits, fruit, snack bars, and bottled water readily available to the residents in care. It was alleged the licensee did not provide activities. Interviews with staff and residents confirmed the facility had scheduled in-house and off-site activities for all residents to attend. Interviews with staff, residents, and the executive director, confirmed the facility had replaced transportation vehicles and the new transportation vehicle was not able to accommodate for residents in electric scooters, or wheelchairs. These interviews also revealed the facility would assist residents who wanted to participate in off-site activities in arranging Metropolitan Transit System (MTS) services. During multiple visits, the LPA witnessed activities schedules posted throughout the facility. It was alleged the licensee did not follow an admissions agreement. It was reported to the Department the facility declined to provide transportation to medical appointments as agreed in Resident # 1’s (R1) admission agreement. Interviews with several sources, including R1, staff, and residents, denied the facility ever refusing to assist residents in arranging transportation to medical appointments. The facility scheduled transports to medical appointments on Tuesdays. Residents who used Ambulatory Assistive Devices (ADDs) were assisted with arranging transportation with MTS, or other providers able to accommodate ADDs. Review of R1’s admission agreement noted the facility would assist in arranging transport and providing transport on one designated day per week. Based on the evidence obtained, there was not enough evidence to prove the alleged violations occurred, therefore, the allegations were Unsubstantiated. An exit interview was conducted with Executive Director Vonda Boller, to whom a copy of this report and Licensee/Appeals Rights (LIC 9058), were provided.