It is alleged that there is a language barrier between facility staff, and residents, and that residents have a hard time asking for assistance. To investigate this allegation, the LPA interviewed residents, staff, and the Administrator. The interviews were conducted on 10/18/2021 between 2:45 p.m. and 3:30 p.m. The LPA interviewed the Reporting Party (RP) on 10/18/2021 at approximately 11:32 a.m. The interviews revealed that five out of five residents can communicate their needs to staff, and that staff understands the residents’ requests. The residents stated that the basic daily needs of the residents are understood by staff. The LPA interviewed the RP, and the RP stated that they were able to understand staff when they communicated at the facility, and added that R1 is hard of hearing which may contribute to the communication concern. The LPA attempted to interview R1, but R1 was unable to respond to the questions. The LPA interviewed staff at 3:05 p.m., and staff was able to comprehend, and answer the questions asked throughout the interview. The administrator stated that they are present during the day, and night at the facility to provide assistance with care.

Call button not accessible to resident.

It is alleged that there is no call button accessible to call for assistance, and residents must yell out for assistance. To investigate this allegation, the LPA conducted residents’ and staff interviews on 10/18/2021, from 2:45 P.M. to 3:30 p.m. On 10/18/202, at 2:35 p.m., the LPA and the administrator conducted a tour of the facility’s bedrooms and observed that there was no signal system/device present in the bedrooms for residents to call for assistance. The residents' interviews revealed that residents call out to staff if in need of help, by calling out the name of the staff, and that the staff check on them throughout the day, when residents are in their room. Bedrooms doors are kept open throughout the day. Staff interviews revealed that staff check on residents every 10 to 15 minutes, when the residents are in their bedrooms. The LPA attempted to interview R1, however R1 was not responding to the questions.

Based on the observations, and the information gathered through the interviews for the above allegation, although there was no call button in place in each bedroom, there is insufficient evidence to support the claim that residents could not summon the assistance of staff. Therefore, although the allegation may have happened, or may be valid, this allegation is deemed Unsubstantiated at this time.

Staff does not follow food menu for residents.

It alleged that staff do not follow the menu for residents. To investigate this allegation the LPA requested copies of sample menus and interviewed residents, staff and administrator. On 10/18/2021, the LPA reviewed sample menus and observed that the sample menus are posted in the kitchen area. The menus have a variety of foods listed for different days of the week. On 10/18/2021, at 2:45 p.m., the LPA interviewed residents about the menu of the facility. The residents’ interviews revealed that the residents are not aware of the menu. However the residents stated that they liked the food served to them, and that there was plenty of food served. The residents stated that they get soups, fresh fruits, snacks and vegetables. The LPA attempted to interview R1 about the menu, but R1 was unable to respond to the questions. The LPA and the administrator observed the refrigerator to have a two-day supply of perishable foods, vegetables and fresh fruits, bananas, apples and oranges. On 10/18/2021 the LPA interviewed the administrator about the menu and the meal items on the menu. The administrator stated that staff follows the menu as closely as possible, but sometimes may substitute the meal items within the same food grou

Based on the observations, the information gathered through the record review, and interviews for the above allegation, there is insufficient evidence to support the claim that staff does not follow the menu. Therefore, although the allegation may have happened, or may be valid, this allegation is deemed Unsubstantiated at this time.

It is alleged that staff does not provide nutritious meals, and that residents are not provided with meat, eggs, rice, vegetables, juice. To investigate this allegation, on 10/18/2021, the LPA conducted residents’, staff and administrator interviews from 2:45 p.m. to 3:30 p.m. At 2:45 p.m., the LPA interviewed residents about the meals served at the facility. The following is a summary of the meals served as described by residents, and is not verbatim: Pancakes, oatmeal, cake, apple, and banana slices, strawberries, chicken, coffee, chocolate milk, tea, eggs, cereal, rice, soups, hash brown, salads, sandwiches, and pizza. The LPA attempted to interview R1, but R1 was unable to respond to the questions. On 10/18/2021, at 3:05 p.m., the LPA interviewed the administrator about the meals and food served to residents. The administrator stated that the soups served are varied in content, and that the soups provide all the food components, because the soups contain meat, vegetables, and grains. The soups are easier for the residents to eat and digest. On 10/18/2021, and 05/18/2022 at 11:30 a.m., the LPA reviewed the sample menus which showed a variety of meals. The sample menus reviewed indicate that the menus meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council.

Based on the observations, the information gathered through the record review, and interviews for the above allegation, there is insufficient evidence to support the claim that staff does not provide nutritious meals for residents. Therefore, although the allegation may have happened, or may be valid, this allegation is deemed Unsubstantiated at this time.

Breakfast is not served in a timely manner.

It is alleged that breakfast is not served in a timely manner, and that breakfast was not served till 9:00 a.m. To investigate this allegation, the LPA conducted record review, and interviews. On 10/28/2021, between 2:45 p.m. and 3:30p.m., the LPA interviewed residents, staff and administrator about the meals served throughout the day. At 2:45 p.m.,the residents’ interviews revealed that they get breakfast in the morning, but could not tell the LPA the exact time. The residents stated that it was served in the ‘morning’. The LPA attempted to interview R1, but R1 was unable to respond to the questions. At 3:05 p.m., the LPA interviewed staff about breakfast time, and staff indicated that they start serving breakfast at 8:00 a.m., but sometimes the residents are not yet awake, and they may wait a bit longer to start getting them ready for breakfast. However, breakfast is ready by 8:00 a.m.

Based on the observations, the information gathered through the record review, and interviews for the above allegation, there is insufficient evidence to support the claim that breakfast is not served in a timely manner. Therefore, although the allegation may have happened, or may be valid, this allegation is deemed Unsubstantiated at this time.

No citations were issued. Exit interview was conducted with the administrator. A copy of the report was issued.