Complaint Investigation Report

Allegation: Staff do not treat resident with dignity and respect

LPA interviewed Staff 2 (S2), who denied speaking rudely to Resident 1 (R1). S2 stated they always served R1’s food tray in the dining area and collected trays along with those of the other residents. LPA also interviewed Staff 1 (S1), who stated the facility does not use bleach in the laundry. S1 explained that a commercial laundry system is used to address stains. It was noted that the concern regarding staff treating residents without dignity and respect was substantiated in a prior complaint involving the subject resident and staff, and has already been addressed with the facility.

Allegation: Staff are not serving food of quality to residents

LPA interviewed R1, R2, R3, R4, and R5. All residents reported that the food served was acceptable. On 03/13/25 and 04/09/25, LPA observed lunch and dinner meals, which included a sandwich on wheat bread, lasagna, mixed vegetables, and wheat bread. The concern regarding food quality was substantiated in a prior complaint and has been addressed with the facility.

Allegation: Staff retaliated against resident complaining

On 03/13/25, LPA interviewed R1, who stated they did not want S2 to clean their room or provide care. R1 alleged that video footage showed S2 entering their room with Staff 3 (S3) while R1 was absent from the facility. LPA interviewed Staff 4 (S4), who currently works in the kitchen.