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The investigation consisted of LPA taking a tour of facility, interviewing two (2) staff (S#1-#2), reviewing and obtaining R1 admissions agreement, physician's report, staff and resident rosters, and R1 care plan.
The investigation consisted of LPA taking a tour of facility, interviewing five (5) staff (S#1-#5), Six (6) residents (R#1- R#6), reviewing and obtaining R1 admissions agreement, physician's report, staff and resident rosters, AR form, R1 care plan and other pertinent documentation related to the investigation.
The investigation revealed: Regarding Allegation: Staff did not provide meals to resident. It is alleged that staff did not provide meals for resident one day.
LPA interviewed five (5) staff and all five staff were aware that resident missed all three meals on 12/01/2025. Several staff stated that resident usually went to the dining hall on the fifth floor to eat meals. Culinary supervisor noticed she had not seen resident that day and asked another staff member if she knew about the resident.. The staff member answered with “resident is OK” and never checked on resident. Resident was receiving escorts to meals when she first arrived at the facility on care plan that was created on 06/19/2024. Effective 04/15/2025 an updated care plan was created and removed wellness checks and meal escorts to the dining room.
The resident should have no expectation for staff to check on resident or to deliver a meal tray to resident’s room on this day according to the services agreed upon by the resident and facility on 04/15/2025. There is insufficient evidence to support this allegation. (continued)
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