complaint·April 25, 2024

Complaint alleges, facility not following general food service requirements. Based upon facility tour and observations, LPA found a sufficient and healthy supply of food items for residents in care. In addition, LPA was informed by Administrator that resident (R1) had a vegetarian diet. LPA confirmed that the items located in R1's labeled food containers were specifically for a vegetarian diet. The facility had utilized Meals on Wheels food services for additional food supply, however, facility appears to have sufficient food for resident needs, providing 3 meals and additional snacks per day. Due to contradicting information gathered, the allegation is found to be unsubstantiated. Complaint alleges, facility is not safe and in good repair regarding grab bars located in resident restrooms to be in disrepair. Upon LPA tour and observations, there are two restrooms available for resident use. LPA found that 1 out of 2 restrooms are in need of a grab bar. Upon interview with Administrator, grab bar replacement orders had been scheduled. In addition, there is still 1 out of 2 restrooms available for resident use with appropriate grab bars installed. Due to conflicting observations the allegation is found to be unsubstantiated. Complaint alleges, staff did not meet residents’ needs regarding resident (R1) reported to have a sudden change of health condition and reported to be less coherent. Upon LPA's multiple visits, resident (R1) was found to no longer be admitted to the facility for LPA to interview or observe. Due to unavailability of R1 and a lack of corroborating evidence the allegation is found to be unsubstantiated. A finding that the complaint allegations, facility not adhering to program plan and/or admissions agreement, facility not following general food service requirements, facility is not safe and in good repair and staff did not meet residents’ needs are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited.