Complaint Investigation Report

Licensee is not ensuring that residents in care are provided with a sufficient amount of food.

On 10/3/23 LPA Fain inspected the back kitchen, the front kitchen and the pantry to assess food supplies. Regional Program Manager (RPM) Alex Archangel gave LPA a copy of the Monthly menu. LPA checked food supply to ascertain if ingredients were available for the meals listed for Tuesday dinner through Thursday dinner (10/2/23 – 10/4/23.) Fruit, apples, celery sticks, coleslaw greens, brownie mix and ground beef were missing from the 7 meals and 8 snacks planned over that time period. RPM left the facility to shop for the required items. LPA observed sufficient food supplies to substitute other items if needed.

On 11/3/23 LPA Lewis toured the kitchen area and reviewed the food supply. LPA Lewis found the food stores sufficient to ensure a 2-day perishable and 7 day non-perishable food supply was available.

On 11/21/23 LPA Fain observed breakfast and toured the facility kitchens and pantry. LPA observed breakfast. Residents were served eggs, turkey sausage, and fried potatoes. Missing from the posted menu were mushrooms, onions, and bell peppers. LPA observed there was no fresh fruit at the facility. LPA interviewed 5 of 12 residents. All residents interviewed stated they were served enough food.

Based on LPAs’ observations and interviews which were conducted, The facility did not have the required fruits and vegetables on 2 of 3 visits. Facility did not serve the vegetables with the meal as planned on the menu on 1 of 3 visits. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

Licensee is not ensuring that residents in care are provided with sanitary drinking water.

On 10/13/23 Regional Office (RO) received by email a water test dated 10/10/23 conducted by Denele Analytical, Inc. The test only listed nitrate concentration. It did not specify a location of where the water was drawn from nor if the water was safe to drink. LPA Fain requested the missing information from RPM.