Complaint Investigation Report

Interview of the administrator revealed two (02) to three (03) servers assist with each meal service. Review of kitchen schedules for September 2025 revealed there were two (02) servers and one (01) chef per meal service. Interview with the head chef, Staff #1 (S1) at 12:15 p.m. on 11/19/25 confirmed there are at least two (02) servers for each meal service. S1 stated each resident is served within ten (10) minutes of placing their order. Interviews with kitchen servers Staff #2 (S2) and Staff #3 (S3) at 10:00 a.m. and 10:10 a.m. on 12/02/26 confirmed there are at least two (02) servers for each meal service, and residents have not waited long for meals. Observation of meal service at approximately 12:00 p.m. on 02/18/26 revealed three (03) servers were serving residents for lunch. Interviews with twelve (12) out of thirteen (13) residents revealed they had no issue with meal service or wait times. Based on observations, interviews, and record review, the facility has sufficient servers and there is no delay in food service. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Licensee did not provide a comfortable temperature in the dining room" it was alleged the dining room is too cold and the facility refuses to turn up the heat. Interview with the administrator revealed all rooms in the facility are maintained between 68 and 85 degrees at all times. Interviews with S2 and S3 revealed the thermostat in the dining room is never less than 70 degrees. They had not heard of any complaints about the dining room temperature. LPA measured the dining room temperature at 2:30 p.m. on 11/06/25 to be 74 degrees Fahrenheit, at 1:20 p.m. on 11/19/25 to be 71 degrees Fahrenheit, and at 9:15 a.m. on 12/02/25 to be 71 degrees Fahrenheit. Interviews with thirteen (13) out of thirteen (13) residents revealed they had no issue with dining room temperature. Based on observations and interviews, the dining room temperature was maintained within regulations. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate heath or safety concerns were observed during today’s visit.

Exit interview conducted. Copy of report provided.