Complaint Investigation Report

Allegation #1: Staff are not following resident's dietary restrictions.

It has been reported that staff are not following the dietary restrictions for Resident #1 (R1). Specifically, kitchen staff have allegedly been serving seasoned foods instead of the required low-acidic, non-seasoned meals over the past two weeks. While (R1's) dietary needs were previously accommodated for periods of 6 to 8 weeks, compliance has recently declined. No additional information has been provided regarding this matter.

On August 3, 2026, between 9:30 AM and 01:20 PM, the Department interviewed staff members identified as Staff #1 and Staff #2 (S1-S2). Two (2) out of the two (2) staff cannot corroborate this claim. Both staff acknowledged their awareness of residents' dietary restrictions and confirmed that meal plans are regularly updated based on physician documentation. Additionally, (S1-S2) informed that the facility has collaborated with Assisted Dining Solutions to manage nutritional dietary requirements, which validates their menus. (R1) is not classified under a "special diet" prescribed by a physician, as confirmed by (R1's) Physician's Report LIC 602A (dated 05/09/24), which indicates no special dietary needs.

While there is a medical note (dated 10/03/25) that is not from (R1's) primary physician, along with a second medical note (dated 01/27/26) from another physician, these documents recommend that (R1) avoid certain foods and food groups. However, they do not specify any clear dietary restrictions. It is suggested that (R1) consult a nutritionist or dietitian to tailor (R1's) diet based on specific symptoms.

(S2) shared that the kitchen is partnered with (R1) to ensure all dietary meal requests are met effectively. A comprehensive weekly meal plan has been created, allowing (R1) to review daily options and alternatives. (R1) is encouraged to suggest any changes or additional choices as needed, which will be included in the "weekly meal plan." This plan is readily accessible upon request each week. (S2) emphasized that any disruption in meal accommodations occurs when (R1) does not submit a complete set of requests for the entire week.

On August 3, 2026, between 10:15 AM and 12:45 PM, the Department interviewed residents identified as Resident #1 through Resident #7 (R1-R7). Six (6) out of the seven (7) residents could not support this claim. (R2-R7) interviewed did not report receiving meals inconsistent with their dietary restrictions or did not have any dietary restrictions.