Complaint Investigation Report

The investigation consisted of the following:

On 08/20/2025, interviews were conducted, facility tour was conducted, and records were reviewed. Interviews conducted consisted of Resident 1 (R1) to Resident 8 (R8) and Staff 1 (S1) to Staff 6 (S6) were interviewed. The facility tour consisted of the kitchen and dining room. Facility records reviewed consisted of Personnel Report dated 09/09/2025, Register of Facility Residents dated 09/08/2025; Staff Training dated 08/27/2025; Weekly Menus from 08/31/2025 to 10/11/2025; Resident Meeting Minutes from July to August 2025; Daily Kitchen Checklist from 06/02/2025 to 09/07/2025; Resident Diabetic List; Resident List of Food Preferences; Resident List of Diets / Restrictions. Resident 1’s records reviewed consisted of Admission Agreement dated 06/24/2025; Physicians Report dated 06/02/2025; Preplacement Appraisal Information dated 06/28/2025; Personal Rights dated 06/24/2025; Identification And Emergency Information dated 06/24/2025.