Complaint Investigation Report

These meals are the same as those served in the main dining room, although some are specially prepared as some residents require their food pureed or cut up, others prefer finger foods. Other considerations in serving food in Memory Care include cueing, special utensils or feeding. At the time of inspection three (3) residents require pureed or mechanical soft diets. Residents in the dining area are observed during meals by care staff with assistance in cueing or eating given, as needed. On 03/11/2025 and 04/01/2025 LPA observed lunch service with staff encouraging residents to eat and to offer additional portions. Several residents have records kept on their intake. Residents are weighed each month and weight loss is reported to doctors and responsible parties. Recent weight records uncovered one resident (R1) who was losing weight. Responsible party and doctor were notified, adjustments were made quickly and resident has been steadily gaining weight. According to S2, many residents in Memory Care put on weight due to the attention and oversight they receive throughout the day and especially during meals. Residents in Memory Care are served three snacks a day. Hydration breaks are also given throughout the day by the Medication Technician and the Activities Director. Based on the evidence, the allegation that Facility has insufficient food service is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Residents are not accorded dignity in their relationship with staff : LPA observed staff/residents interactions on two (2) occasions (03/11/2025 and 04/01/2025) and found no incidents of staff treating residents in an undignified manner. LPA spoke with family members, home health employees and care staff, as well as three (3) residents. Eleven (11) of eleven (11) individuals all agreed that staff treated residents with respect and dignity. Based on the evidence, the allegation that Residents are not accorded dignity in their relationship with staff is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.