Complaint Investigation Report

The investigation consisted of the following:

On 04/04/2025, a facility tour was conducted, records were reviewed, and interviews were conducted. The facility tour consisted of the kitchen area. Interviews consisted of 5 staff interviews [Staff 1 (S1) to Staff 5 (S5) were interviewed] and 11 resident interviews [Resident 2 (R2) to Resident 12 (R12) were interviewed]. Facility records reviewed consisted of Personnel Report dated 01/2025, Register of Facility Residents dated 01/01/2025, Weekly Menu for Week 1 to Week 4, Dietary Consultant Reports from 01/18/2025, 02/16/2025, and 03/23/2025. Resident 1 (R1) records reviewed consisted of Admission Agreement dated 01/01/2024, Physicians Report dated 11/18/2023, Appraisal & Needs Services Plan dated 06/19/2024, Refusal of Medical Attention and/or Hospitalization documents, Medical Records, etc.