Complaint Investigation Report

Regarding the allegation staff did not provide adequate food service:

Specifically, the allegation was that client 1 (C1) was not served dinner on C1's date of admission. The administrator explained that the admission process to the facility can be long. C1 was in an assessment meeting when dinner was served. When their assessment was complete they were offered food for dinner. S2 recalled C1 had potatoes, macaroni and cheese, and leftover chicken. There were ribs that were served for dinner but there were none left by the time C1 was eating dinner. There were other options available and C1 did eat dinner. The administrator recalled asking C1 if they were still hungry and C1 stated they were not still hungry. Based on information from staff, C1 did have a meal for dinner on C1's date of admission. Therefore, the allegation is deemed unsubstantiated at this time.

Regarding the allegation staff did not meet residents' needs:

This allegation was regarding C1 not receiving the expected therapy during their stay as well as not receiving medication for acute short-term medical symptoms. In addition, it was alleged things like scheduled activities were not conducted due to lack of staffing. LPA interviewed the administrator, S1 and S2. C1 was not at the facility for very long. On C1's admission date there was a lot to go over and assessments to complete in order to understand C1's needs. The second day C1 had to receive a physical in order for the required physician's report to be completed so C1 did not get a full day of program. The third day was a full day of program. The fourth day C1 had packed their things and informed the administrator they were leaving. C1 went to an offsite group session that day with the other clients while the administrator contacted the psychiatrist to get approval to release all of C1's medications to them. In addition, the administrator provided a copy of the staff schedule and a copy of the program schedule as it was alleged on one of the days (C1's last day at the facility) the clients were supposed to be on an outing. The schedule shows the outing was to occur at 3:00 p.m. and prior to that there were two offsite group sessions planned for all clients. There was one staff and the administrator at the facility that day. The staff transported the clients to the offsite group sessions. There was no indication this facility was understaffed that day; they had a total of four clients. Lastly, the administrator stated that on the day C1 went to get their physical staff stopped at a store to take C1 inside to pick up some over the counter medication C1 chose. Staff returned to the facility with the medication and contacted the psychiatrist to get an order for the over the counter medication C1 wanted to take. The facility staff did not ignore C1's symptoms. Based on record review and interviews, this allegation is deemed unsubstantiated at this time.