complaint·January 6, 2023

Further interviews revealed that some of the residents’ dietary need are as follows: low sodium, heart health, and diabetic. Various resident stated they have restrictions on diets, but facility staff continues to provide every resident with pastas, burgers, sandwiches, fries, fried foods, and pancakes during mealtimes. There are days that there are healthy options or they get restrictions right, but most of the time its food items we know we cannot eat, we cannot have or it bad. Interviews with six (6) staff members on 10/13/2022 and 01/04/2023, revealed that some staff claim they do their due diligence in ensuring that the residents dietary needs are met. Staff interviews also indicated that due to an inadequate supply of perishable and nonperishable foods as it relates to the daily menus, staff believe they are unable to meet resident dietary needs as prescribed for low sodium, heart health and diabetic. A similar complaint, reported to the Department on 10/12/2022 relating to food quality and requirements, was substantiated. Based on evidence gathered throughout the investigation, the allegation is deemed substantiated at this time. Once the resident or visitor comes up to the front entrance, there is a phone number that they can call, and a staff member will open the door. Interview with Resident #1 (R1) on 10/14/2022 revealed that R1 has had no problem leaving the facility after reception was done for the day at 5:00 p.m. R1 lastly added that they have heard of other residents and visitors trying to get into the facility after hours and having to wait due to a shortage of staff in the evening. Additional interviews with residents on 10/13/2022 and 1/4/2023 revealed that they don’t feel like they are locked in the facility, but the main problem is someone not opening the main door after hours. Interview with R2, on 10/13/2022 starting at 1:40 p.m., revealed that R2 was able to leave the facility without any problem but had to wait 20-30 minutes outside on various occasions before the door was opened for R2. Although the allegation has been determined to be unsubstantiated, a conversation was held with the Business Office Manager during the exit interview of today’s visit. LPA stressed the importance of knowing clients’ personal rights and having sufficient staff to address the needs of residents. BOM stated they will continue to hire staff. Copy of the report provided to Administrator via email.