It is alleged that staff did not ensure that a resident's commode was maintained in a sanitary condition. During resident interviews, the facility had three residents, including R1. At the time of the visit, R1 was not present at the facility as she was attending a dialysis appointment. R2 was interviewed and described the facility as "good." R2 stated that staff are nice and assist with changing and maintaining personal hygiene. R2 reported having no concerns regarding the food provided by the facility and stated that she is content living at the facility. R3 was not interviewed, as R3 was asleep during the visit. During staff interviews, staff reported that R1's commode is emptied, cleaned, and sanitized after each use. Staff stated that caregivers are responsible for maintaining the commode in a clean and sanitary condition and acknowledged that there may occasionally be delays in responding immediately to R1's requests when assisting other residents. Staff further reported receiving training regarding infection control practices, toileting assistance, and maintaining sanitary conditions within the facility. Staff also reported that R1 previously contacted law enforcement regarding concerns about the cleanliness of the commode. According to staff, law enforcement responded to the facility, conducted a walk through, and interviewed R1. Staff stated that the responding officer advised that there were no findings and that no further investigation was necessary. During the facility walk through, the LPA observed R1's bedroom to be clean. LPA also observed the commode in R1's room to be clean and free of urine, feces, or other unsanitary conditions at the time of the visit. During record review, LPA observed and obtained a copy of the facility's infection control procedures.

Allegation: Staff do not ensure that resident is provided food according to their special diet.

It is alleged that staff did not ensure that a resident was provided food in accordance with the resident's prescribed special diet. During staff interviews, staff reported that R1 does not have a physician prescribed diet but receives dietary recommendations related to her dialysis treatment. Administrator reported they communicate residents' dietary preferences and recommendations directly to caregivers and purchases resident specific food items. Staff reported that R1 is offered nutritious meal options; however, R1 does not always choose to eat the foods provided. Staff stated that alternative options are offered based on R1's preferences. Staff denied any concerns or complaints regarding R1 not receiving appropriate meals. During record review, the LPA reviewed R1's Physician's Report dated 9/26/25 and Admission Agreement. The Physician's Report did not identify any special dietary needs, dietary restrictions, or prescribed special diet for R1. During the facility walk through, LPA observed a food menu available for residents to choose from, which included well-balanced and nutritious meal options. Staff stated that, while the menu provides meal choices, accommodations are made based on residents' individual preferences and food choices. LPA also observed the facility's food supply and noted that the facility had an adequate amount of food available, including fruits and vegetables.

Based on the investigation conducted which included interviews with staff and resident, as well as a review of relevant records, there was insufficient evidence to support the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was held, and a copy of this report was provided.