LPA review of documents included grocery receipts from various local stores including Raley’s, Walmart, Foodmaxx, Smart & Final, Grocery Outlet, and Big Lots. The dates on the receipts were from 7/12/2022 through 8/16/2022. Items purchased were an assortment of fresh fruit and produce, canned goods, juice, meat, seafood, bakery goods, frozen food items, and dairy products.

During LPA’s tour of the facility on 08/11/2022 LPA observed and took photographs of a refrigerator and freezer full of food and a very large pantry that was completely stocked with canned goods and dried goods. LPA observed a large fruit bowl on the kitchen counter full of fresh fruit as well as a cupboard full of snack items.

Staff stated that the food supply is adequate for the residents, and the residents are served 3 meals each day. Staff stated the residents have snacks available to them at all times, and the facility goes grocery shopping everyone to two days. Staff stated the meals are pre-planned in the sense of making sure they are well balanced and not repetitive.

During resident interviews 2 residents stated they like to food that is served and the food is good quality. 3 residents were unable to be interviewed.

Administrator stated the facility does not pre-plan a menu but does ask the residents what they want and prepare their meals for them. Administrator stated they go grocery shopping almost every day.

Based on LPA observation, interviews, and record review it was determined that the facility has plenty of food available to the residents, the residents like the meals that are served to them, the residents are served 3 meals per day and have snacks available to them at all times therefore the allegation is unsubstantiated.

Continued on LIC9099-C

LPA review of documents included forms from two home health agencies with R1’s name, case manager name and phone number, and dates of service written on them.

During LPA’s tour of the facility on 08/11/2022 LPA observed a home health nurse exiting the facility when LPA arrived.

Telephone interview with home health nurse revealed on 6/19/2022 R1 was discharged from a local hospital. On 6/25/2022 the home health nursing agency opened R1 to services. On 6/25/22 the home health nurse had a face to face encounter with R1 at the facility. The home health nurse stated the facility administrator let them into the facility to see R1.

Staff stated that home health is allowed to enter the facility.

During resident interviews 2 residents stated they have not had a home health nurse come into the facility to visit them. 3 residents were unable to be interviewed.

Administrator stated home health was allowed to enter the facility to provide care to R1.

Based on LPA observation, record review, and interviews it was determined that staff did allow home health to enter the facility therefore the allegation is unsubstantiated.

Staff yelled at resident – UNSUBSBTANTIATED

Staff stated they have never witnessed the administrator yelling at a resident.

During resident interviews 2 residents stated they have never had staff yell at them and have not witnessed staff yelling at any other residents. 3 residents were unable to be interviewed.

Administrator stated that some of the residents are hard of hearing so she has to speak loudly to them.

Based on LPA interviews it was determined that staff did not yell at a resident therefore the allegation is unsubstantiated.

Continued on LIC9099-C

During LPA’s tour of the facility on 08/11/2022 the licensee answered the door wearing a mask and continued to wear the mask during the entirety of the visit. No other staff were observed in the facility. On LPA’s visit to the facility on 10/03/2022 two staff were observed to be wearing masks inside the facility.

Staff stated they are wearing masks inside of the facility at all times.

During resident interviews 2 residents stated that staff always wear masks inside of the facility. 3 residents were unable to be interviewed.

Administrator stated that all staff are wearing masks inside of the facility.

Based on LPA observation and interviews it was determined that staff are wearing masks inside of the facility therefore the allegation is unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED.

An exit interview was conducted. A copy of the report was emailed to facility licensee Daniella Olteanu. No deficiencies were cited on today’s date.