Complaint Investigation Report

Allegation: Staff do not ensure resident's dietary needs are met.

It is alleged that resident in care is being provided meals that contain ingredient that resident is allergic to.

On 06/26/26 from 10:00 am- 11:30 am LPA conducted Interviews with R1-R8 regarding the allegation above. 1 of the 8 residents interviewed confirmed the allegation above and stated that the kitchen staff is offering resident a soup that contains an ingredient resident is allergic to. Per 1 of the the 8 residents interviewed resident will go out into the community to purchase food when resident is aware that soup is listed on the menu for the day. 7 of 8 denied the allegation above and report they have not been sick due to the meals provided by the facility. 8 of 8 residents interviewed reported that there is an alternative menu available they can order from if they do not wish to eat the items on the menu for the day. On 06/26/26 at 11:30 am LPA conducted a tour of facility kitchen and observed the lunch service. LPA observed a big white board in the kitchen that consist of the residents names, pictures, room number, and their dietary restrictions, allergies, and the special diet that they have. During lunch service, LPA observed (2) servers each pushing a cart with lunch plates and beverages. LPA observed that some meals were cut into small pieces to accommodate the resident(s), and LPA observed alternative options being provided when requested. On 06/26/26 LPA observed that the menus for the day as well as the alternative menu was posted by the reception desk. On 06/26/26 from 12pm- 1pm LPA conducted interviews with S1-S5 regarding the allegation above. 5 of 5 staff interviewed denied the allegation above and reported there is a board on the kitchen wall that has the pictures, names, room numbers, and dietary needs of the residents. 5 of 5 staff interviewed reported they have not observed any issues with the food being served to residents in care. Additionally, 1 of 5 staff interviewed reported that kitchen staff will speak to residents about their concerns regarding food allergies and food preparation. On 06/26/26 LPA was informed by kitchen staff that soup stocks/broths are made separately for residents that have an allergy to any ingredient typically used in soup stocks/broths. On 06/26/26 LPA conducted a review of R1's file. LPA observed that R1's preplacement appraisal dated: 01/15/2026, R1's Physicians report dated:01/16/26, and R1's Resident dietary preference/order form dated: 0116/26 all state that R1 does have a food allergy.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview provided, and a copy of this report was provided.