complaint·October 25, 2024

Staff are not feeding resident: The allegation is that resident R1 has difficulty in swallowing food and needs longer time to be fed for meals. On 3/17/2023, LPA interviewed 2 staff(S1, S2). 2 Out 2 staff stated the facility always has 2 staff during the meal time to feed residents. 2 Out 2 staff denied the facility staff did not feed resident R1. During the visit, LPA observed resident R1 was thin. LPA interviewed R1. R1 is nonverbal. R1 replied the questions by nodding or shaking his/her head for yes or no. R1 nodded his/her head when was asked if the staff fed him/her with 3 meals per day. R1 nodded his/her head when was asked if he/she felt hungry. LPA interviewed ADM. ADM denied the facility staff did not feed R1. ADM stated R1 has difficulty in swallowing food because R1 has deteriorated swallowing mechanism. ADM stated he/she will have a dedicated staff to take care of R1 to spend more time to feed R1. On 10/17/2024, LPA interviewed House Manger (HM). HM stated staff spent around 20-30 minutes to feed other residents, and spent around one and half hours to feed R1. LPA interviewed staff S1. S1 stated he/she spent at least one hour to feed R1. S1 stated he/she did not force R1 to be fed if R1 closed his/her mouth. S1 stated R1 never requested more food, and sometimes R1 refused to eat. Based on the review of R1's physician report dated 3/17/2023, R1 is unable to feed self, and R1 does not have special diet. Based on review of R1's Appraisal/Needs and Service Plan dated 3/1/2023, R1 needs 1 person assists feeding. R1 is on pureed diet with thicken liquids, and soft food as tolerated. The Department has investigated the above allegation. Based on the investigation, and interviews conducted, the Department found that the above allegation is UNFOUNDED , meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s compliant investigation visit. Exit interview was conducted with ADM. A copy of this report was provided to ADM. Page 2 of 2.