complaint·February 27, 2025

LPA requested and reviewed disciplinary records for Memory care staff caregivers which revealed a Corrective Counseling Documentation record for Staff 1 (S1) on 01/21/2025. S1 required corrective counseling for several incidents on this form, with one being during S1’s training period, it was reported that S1 spoke harshly and treated a resident roughly with taking a residents blood pressure reading, then on 01/07/2025 there was another incident regarding a resident 1 (R1) being agitated and would not return to the R1’s room, S1 was advised by another staff not to provoke the R1 any further, S1 went against the advice given and took R1 back to the R1’s room while in the room it was claimed the R1 hit S1 in the chest, S1 said S1 had to grab R1 and sit R1 down in a chair in R1’s room. S1 was questioned about the incident by another staff and S1 changed S1’s story. S1 was advised to write an incident report but wrote a note instead, R1 was assessed after the incident and new skin tears were observed on R1. Management had concerns with S1 so S1’s probationary period has been extended to 03/15/2025 although S1 has violated the Facilities prohibited conduct when S1 was caring for a resident in an unprofessional, rough, or demeaning manner on two separate incidents. S1 had other counseling incidents on the same form but none of those other incidents involved residents. Based on the evidence this allegation is deemed Substantiated at this time. Exit interview conducted, deficiency cited, copy of report and appeal rights printed for Administrator. On the allegation: Facility staff does not provide adequate food portions to residents. The facility has a Main Commercial Kitchen in the Assisted Living portion of the building, the cook prepares the food and portions the food into large servings containers with lids in warming trays and sent to the memory care kitchen to be plated and served. The portion of food is based on the memory care census of residents. LPA observed the lunch meal served in the memory care unit as the complaint was specific to the Memory Care Unit (MC). LPA observed the lunch meal to be a ½ of a large burrito with sides of spanish rice and black beans, which looked like an adequate serving for a lunch meal. LPA did not observe any substitution of food for this meal in the MC kitchen, staff interviews indicated if someone didn’t want to eat what was served, staff can call to the dining room and get something else for a resident. LPA interviewed a witness 1 (W1) that indicated the portion size was adequate for the lunch meal, but no other substitutions seemed to be offered and the resident that W1 was visiting did not like or want to eat the black beans and would have preferred to eat a taco over a burrito, just easier for the resident to eat on own. LPA observed several residents eating the meal served, many ate most of the serving, didn’t observe anyone getting more food, seen several residents still sitting with half to full plates. W1 visits often and feels some residents need help eating and may not be getting that and some may be slow eaters and just take longer to eat. Staff interviews revealed they learn the residents likes and dislikes and will always get residents another meal if residents do not like the meal being served, if staff see someone eat less at breakfast they offer them more at lunch, the staff feel the portions are good size and that the MC kitchen always has a lot of leftovers. LPA observed several portions of food remaining after service was done and most residents had left the dining room area. Based on the lack of evidence this allegation is Unsubstantiated at this time. Exit interview conducted and copy of report printed for Administrator.