Complaint Investigation Report

The Department conducted a ten day visit on October 15, 2024 and observed approximately forty residents in the dining room for dinner. Due to staff shortages in Memory Care, Memory Care residents were brought to dinner in the dining room. Three of four resident interviews denied the allegation that:Facility fails to provide a safe environment for its residents. Thus is allegation is Unsubstantiated.

LPA obtained standing modified diets from the kitchen and spoke to the Chef about resident allergies and preferences. Chef shared the line staff know resident preferences and they are posted in the kitchen. During the time the complaint was received, Chef was not an employee but currently, modified diets are followed. Three of four residents interviewed stated they did not have issues with food at this time. Seven of seven resident Physician Reports and modified diets were reviewed and were being followed. None of the residents reported having allergies or becoming ill from food. Thus the allegation that: Facility staff is not following dietary orders is Unsubstantiated.

LPA reviewed seven of seven Physician's Reports (LIC 602A) and spoke with ED Figueroa regarding alcohol policy for Memory Care. Currently two residents are allowed alcohol per LIC 602A but the majority of residents in Memory Care get a non-alcoholic alternative during Happy Hours. Thus, the allegation that: Alcohol is being served to residents with a dementia diagnosis is Unsubstantiated.

Four of four residents were asked if the facility safeguards their personal information. Three of four residents felt personal health information was safeguarded. One of four residents felt staff spoke about other residents' health issues. Nine of nine staff denied that resident personal information was improperly shared with others. Based on resident and staff interviews, the allegation that Facility staff does not safeguard the residents' personal information is Unsubstantiated.

Upon touring the facility. LPAs visited resident rooms and took temperatures in common areas. The temperature ranged between 72.3 - 74.1 degrees Fahrenheit. Three of four residents did not have any issues with temperature in their apartments and one of four residents received a partial refund due to an AC unit in disrepair. Thus the allegation that: Climate control is not operational is Unsubstantiated.