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32 | LPA observed medication to be all accounted for all residents; LPA did not observe surplus or shortage of medication. LPA reviewed six (6) out of six (6) residents’ medications, no unprescribed medication was observed. R1 had a total number of seven (7) medications which had a physician’s prescription.
Based on interviews, observation, and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
Allegation: Staff did not provide nutritious food options to resident.
It was alleged that staff did not provide nutritious food options to R1. During LPA on 11.21.2025, LPA observed a nutritious breakfast for residents. The breakfast plate had two (2) poached eggs, a cup of fruits that had: banana, blueberries, strawberries, kiwi, a sliced toast, and a cup of milk. During lunch, LPA observed residents' plates to have Swedish meatballs, steam broccoli, mash sweet potatoes, and buttered pasta. LPA interview with six (6) resident and reviewed the facility menu. Breakfast, lunch and dinner menu includes a healthy and nutritious variety of vegetables, fruits, protein and a treat. The residents interviewed did not have any concerns/complaints about the food served at the facility. All residents interviewed felt that the facility serves sufficient amounts of protein and vegetables with their meals.
Based on interviews, observation, and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
Allegation: Staff did not accord resident privacy.
It was alleged staff did not respect R1's privacy. Staff would come in and out of the room. During LPA visits on 11.21.2025 and 8.27.2026, LPA did not observe staff entering the resident's bedroom without knocking. LPA interviewed six (6) residents, who revealed staff knock on the door before they enter, and their privacy is respected. Interview with staff revealed that they always knock on the resident's bedroom door before entering, they are trained to respect residents' privacy.
Based on interviews, observation, and training record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.
continue to LIC 9099-C
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