Complaint Investigation Report

On 05/22/25, the department requested the following documents: staff roster, resident roster, and the shower schedule. The department conducted interviews with staff #1 - #7 (S1 – S7), residents #3 - #4 (R3 – R4), and attempted to interview residents #1 - #2 (R1 – R2). On 07/16/25, the department conducted interviews with staff #8 (S8), (R2), residents #5 - #10 (R5-R10), and attempted to interview R1. On 07/23/25, the department received the following documents: Medication Administration Records (MAR) for R1, R3, and R4, for the months of March, April, and May 2025, and the facility’s activities calendar for the month of June. Additionally, the department conducted a tour of the kitchen and dining room.

The investigation revealed the following:

Allegation: Staff are not providing residents with daily meals. It is being alleged that the facility is not providing a resident with their daily meals. It is also being alleged that the facility is not providing the resident with their dietary needs. On 05/22/25, between 10:15 AM and 12:45 PM, the department interviewed S1-S7, and on 07/16/25, between 03:15 PM and 3:25 PM, the department interviewed S8. Of those interviewed, 8 out of 8 staff denied the allegation. 8 out of 8 staff stated that residents receive three meals a day, including snacks in between. 8 out of 8 staff said that the facility does accommodate residents with special dietary needs. S1 stated that all residents receive three meals daily, including snacks, and that meals are determined based on their dietary needs. S1 said that if a resident has a special diet, the facility follows the doctor's orders, and it’s posted in the kitchen. If the residents are still hungry, snacks and alternative menu options are always available.

On 05/22/25, between 1:30 PM and 3:00 PM, the department interviewed R3-R4. On 07/16/25, the department interviewed R2, and R5-R10. The department was unable to interview R1 on both dates. Of those interviewed, 7 out of 9 residents said that staff are providing them with their daily meals. 7 out of 9 residents stated that they had no complaints about the food being served at this facility. 7 out of 9 residents said this facility is meeting their dietary needs.

The Department reviewed the Menu for the months of March, April and May 2025, and observed that the residents are getting a variety of nutritious foods for breakfast, lunch, and dinner. The menu was a healthy diet that emphasizes a wide variety of foods from all food groups, including fruits, vegetables, grains, lean protein sources (like fish, beans, eggs, lean meats) and dairy and dairy alternatives.