Complaint Investigation Report

LPA toured facility and observed residents lunch mealtime. ED stated lunch starts at 1130am. At approximately 12pm, LPA observed 18 residents in Assisted Living already served lunch and enjoying their dessert. LPA observed/met with 3 residents (R5),(R2),and (R3). R5 stated R5 had no concerns about meal service. R2 had just finished meal but requested to bring additional food to room. LPA observed S1 packing up food for R2 upon request. R3 stated just sat down and order was taken within 5 minutes of R3 entering dining hall. LPA observed 6 additional residents enter the dining hall. LPA observed within approximately 3 minutes of seating, S2 and S3 were at their tables taking their orders.

It was alleged that the licensee failed to have sufficient staff to meet the needs of the residents. RP specifically noted residents having to wait for over an hour for their meal service. LPA toured the facility and found sufficient staff to meet the residents needs. Residents interviewed were either speaking on behalf of other residents and did not experience the shortage in staff during meal time. Additional residents interviewed stated they had no concerns about the wait during mealtime and the response support they received to meet their needs. Based on information provided through interviews and documentation, it was unclear if licensee failed to have sufficient staff to meet the needs of the residents.

Therefore, the allegation that the licensee failed to have sufficient staff to meet the needs of the residents. is deemed UNSUBSTANTIATED. There was not a preponderance of evidence to prove or disprove that the allegation occurred as reported therefore the allegation was found to be Unsubstantiated.

An exit interview was conducted with Sara Mackedsy, ED and a copy of this report 9099 and Appeal Rights was provided via email.