complaint·February 15, 2024

Interviews of Staff 1 – 4 (S1, S2, S3, and S4) on 06/08/2023, all stated that there is not enough staff to fully attend to all resident needs. Based on call times, interviews, and documentation there is sufficient evidence to conclude that the facility, during the time of this investigation, did not have staff sufficient in numbers to provide services necessary to meet resident’s needs and the allegation of, “Staff do not respond to call bell in a timely manner.” Is substantiated at this time. As to the allegation of, “Facility does not provide adequate food service.” It was discovered through interviews, documentation, and observations that food service at the facility on three specific weekends of May 20/21, May 27/28, and June 03/04, dining services were delivered cold and below basic standards meal offerings. In interviews on 06/08/2023, of staff 3-6 (S3, S4, S5, S6, and S7) all stated that lead staff (S2) working weekends was not properly trained and did not have enough head cook experience to manage basic food service during these dates. In interviews of Residents on 06/08/2023 R2, R4, R5, and R6 stated that the food service has been cold on the weekends during the May through June of 2023 time period. Based on interviews of Staff and Residents, at this time there is enough evidence to support the allegation of, ““Facility does not provide adequate food service.” and is substantiated at this time. Exit interview, report read, deficiency cited, appeal rights and report provided.