Complaint Investigation Report

On 7/31/25, the Department conducted 1 Administrator interview and RBT Lead interview (A1-A2); 5 staff interviews (S1-S5), 3 (attempted) client interviews (C1-C3), 1 facility dietitian (W2) interview. The Department spoke with placement agency (W1) via telephone.

Allegation: Facility staff did not meet the resident's dietary needs.

The detail of the complaint alleges that because the staff are not meeting dietary needs, C1 has gained 15 pounds since C1 has moved into facility on 6/6/2025. On 7/31/2025, between 9:00am and 10:30am, the Department interviewed Administrator (A1) and RBT Lead (A2) who denied the allegation and stated C1 has gained some weight but not 15lbs, and weight gain is not due to them failing to meet C1’s dietary needs. The Department reviewed C1’s weight record which corroborates that C1 has not gained 15lbs as reported and has in fact lost weight. C1's chart records weight as follows: 6/7/25-- 197.4, 6/30/25-- 198.2, 7/10/25--206 and 7/29--199.8. On 7/31/25 between 10:30am and 11:30am, the Department interviewed 5 staff (S1-S5) regarding the allegation, and of those interviewed, 5 out of 5 denied the allegation stating that the facility meets all clients dietary needs including C1's. Additionally 5 out of 5 identified restrictions from C1's family and they adhere to those restrictions. On 7/31/25, the Department attempted to interview 3 clients and of those attempts (1 out of 3 ) stated that the facility serves nutritious food that he likes. 2 out of 3 declined the interview as they were engage in other activities at time of visit. Lastly, the Department interviewed the facility Dietitian (W2) who provides menu planning and training on healthy eating.

Based on the interviews conducted and the documents reviewed, there is insufficient evidence to support allegation.