Regulatory Action Details: CALMS - 00085971

Records Request Print
Effective date
8/19/2025
End date
10/6/2025
Reference number
CALMS - 00085971
Allegation
Failed to provide safe environment
Description
The facility failed to carry out medication and treatment orders as prescribed. Resident 1 had a signed physicians order dated 5/16/25 for a mechanical soft diet yet was served a regularly textured meal. This put Resident 1 at risk of choking.
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0025(4)
External site: 411-054-0055(1)(a) and (f)
Findings
Facility failed to provide a safe environment
Sanction
ALFCD25-00399