Complaint Investigation Report

Training on reporting dependent adult and elder abuse, staff in-service training, and ongoing staff training.

Allegation: Staff do not ensure a comfortable living environment for residents

The department interviewed staff members 1-4 (S1-S4) and residents 1-9 (R1-R9) they all stated the facility staff provides residents with a comfortable living environment and meets their daily care needs. S1-S4 and R1-R9 stated that residents with dementia do not walk up and down the halls at night screaming or banging on other residents' doors. S1-S4 and R1-R9 denied the allegation.

Allegation: Staff do not prevent residents from entering other resident's rooms

The department interviewed staff members 1-4 (S1-S4) and residents 1-9 (R1-R9) who stated the facility staff take measures to prevent residents from entering other residents' rooms. S1-S4 and R1-R9 explained that room doors automatically lock when residents leave their rooms and require a key to unlock the door. They also stated that female residents are not seen running down the hallway screaming, "Get out of my room!" S1-S4 and R1-R9 denied the allegation.

Allegation: Staff do not meet residents’ modified dietary needs.

The department interviewed staff members 1-4 (S1-S4). All staff stated that the cook follows a meal plan and serves nutritious meals three times a day, seven days a week. S1-S4 explained that if a resident is on a modified diet prescribed by a physician as a medical necessity, staff follow the physician’s orders.

S1-S4 stated that the resident in question was not on a restricted or modified diet. They also stated that residents can request substitutions if they do not like the meals served. S3 noted that while not all residents may love every meal, the menu offers a variety of food options to accommodate preferences. S3 reiterated that she follows the meal plan and ensures nutritious meals are served daily. The department also interviewed residents R1-R9. R1 stated that the facility served food to which he was allergic and described the food as not good or nutritious. R2-R9 reported that the food was delicious and that they had no issues with the meals provided. S1-S4 and R2-R9 also stated that residents have alternative meal options if they dislike what is served. The department reviewed the facility’s meal plan and determined that the total daily diet meets the quality and quantity necessary to meet residents’ needs. S1-S4 and R2-R9 denied the allegation. See continued LIC9099-C page 3