complaint·August 4, 2022

R1 would have to ask the staff to open the door. R1’s family member did not report it to staff or the administrator initially because they figured the staff would. Administrator interview revealed that R1 is declining cognitively, as evidenced by his behaviors. Administrator stated in order for the facility to handle maintenance issues, the resident would need to report the issue by calling the front desk. Then a service request would be made, then the door would be fixed. Staff interviews revealed that R1 had multiple door issues and there were at least two instances that R1’s door needed new batteries and one where it needed a new part. Based on interviews and emails provided, multiple maintenance issues occurred with R1’s door, over the span of about two weeks. Therefore this allegation is deemed substantiated at this time. Exit interview conducted, 9099-D, appeal rights, and report emailed to Administrator. R1 dislikes going down to the dining room due to not receiving assistance and has to go to the kitchen entrance to get someone’s attention. Interviews with staff and R1’s family revealed that R1 would request breakfast outside of the scheduled time. R1 was given cereal and other snacks to tide R1 over until breakfast hours. Administrator interview revealed that R1 recently started receiving tray service and was not used to the process yet. Administrator also stated that if the kitchen was slow R1 would be upset if staff wouldn’t respond immediately to R1’s call. To help R1 adjust to tray service, the facility switched the order of tray deliveries so R1’s floor was served first. The meals were still provided/served timely according to regulations, and the facility changed their tray service schedule to try to accommodate R1. Based on interviews, this allegation is deemed unsubstantiated at this time. Exit interview conducted, report emailed to Administrator.