Complaint·May 22, 2023

Residents interviewed expressed that their food is not cold during in-person full dining service but may be cold when delivered to their rooms. Resident interviews also revealed that all residents have access to have their food reheated in their rooms or by the kitchen staff. LPA Strong reviewed facility’s protocol for keeping food warm prior to room delivery which included warming ovens, heat lamps and chaffing lines; all which were fully functioning at temperatures of 135 degrees Fahrenheit or above. Interview with Dining Service Director revealed that facility has been working on maintaining food temperatures during all meal services and recently purchased insulated bags and additional heating ovens. Records collected corroborated that the facility had been investing in temperature preserving strategies for meals. It was also alleged that facility is accepting resident without first conducting resident pre-appraisals though allegation did not identify specific residents. Interviews with staff revealed that all residents are pre-appraised, and it is documented in their individual files. LPA Strong conducted a random resident file review and found all resident files reviewed had a pre-appraisal documented prior to move in date. Interview with former Executive Director revealed that no residents had been admitted into the facility without a pre-appraisal. Lastly, it was alleged that staff are refusing to assist residents with activities of daily living, including showering, toileting, and bathing but no specific residents were identified. Interviews conducted with residents revealed that all resident’s needs were being met and no concern was discussed regarding lack of care. Interview with staff revealed that there have been no recent reports of resident not receiving the assistance they were assessed for. Interview with an outside source revealed that there were no prior complaints regarding resident’s needs not being met. Based on LPA's facility inspection, interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Executive Director Justin Webber, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.