Complaint Investigation Report

Regarding the allegation that Facility does not have enough food for clients in care, the following has been concluded: Based on observation conducted during the tour of the physical plant and interviews conducted, LPA determined that groceries were being provided at least weekly on Tuesdays or Wednesdays by the facility's Residential Supervisor on the basis of requests expressed during a meeting with the clients held every Sunday. A sufficient supply of food was observed during the visit and groceries were seen being brought by the Residential Supervisor during the visit. Two of the interviews conducted expressed concern about sufficient supply being brought in, however other interviews appeared to confirm that supplemental orders and other measures were in place to ensure a sufficient supply of nutrition for the clients in care.

Regarding the allegation that Staff are serving spoiled food to clients, the following has been concluded: Interviews and observation evidenced the presence of a system visually tracking expiration dates and ensuring that expired food items were being thrown out as needed. Leftovers from catered meals are being removed from the facility after a maximum of 48 hours. Visual inspection of the refrigerator found no currently expired items. A potential incident involving expired milk being consumed was brought up during interviews however other interviews conducted did not corroborate the exact circumstances of the incident.

Regarding the allegation that a Client medication was not refilled timely, the following has been concluded: Based on interviews and review of the facility's medication orders and medication administration records provided, it was determined that one client's inhaler was found to have expired upon admission and was replaced within a few days. The treatment was provided as a PRN and no evidence of a missed dose being provided as needed could be found. Another client's treatment was claimed to have been delayed however it was determined that the medication had not yet been prescribed at the time and was not the object of a required refill.

As a result, the three allegations listed above are found to be Unsubstantiated, meaning that although the allegations listed may have happened or are valid, there is not sufficient evidence to demonstrate that the alleged violations occurred.

An exit interview was conducted and a copy of this report was provided to a facility representative.