Imboden Creek Senior Living has been operating without a certified dietary manager, a violation that potentially affects every resident in the facility, according to a November inspection report. The finding emerged during a complaint investigation at the Decatur facility.

When inspectors interviewed the dietary manager on November 28, he stated plainly that "he is not certified for dietary management and he is not currently enrolled in any certification courses." The conversation took place at 1:19 PM during the inspection.
The administrator confirmed the problem twice that day. During a 10:50 AM interview, she told inspectors the dietary manager "is not certified" and explained that a regional registered dietician consults for the facility monthly. Later, at 2:38 PM, she confirmed again that the dietary manager lacks certification and isn't enrolled in any courses to obtain it.
Federal regulations require nursing homes to employ sufficient staff with appropriate skills to carry out food and nutrition services, including a qualified dietician or certified dietary manager. The violation affects the facility's ability to ensure residents receive proper nutritional care.
The facility's own job description for Director of Food Services outlines extensive responsibilities for the position. The undated document states the role's "general purpose" includes "planning, organizing, developing, and directing the overall operation of the Dietary Department in accordance with current and federal, state, and local standards governing the facility."
The job description continues that the dietary director must ensure "quality nutritional services are provided on a daily basis and that the Dietary Department is maintained in a clean, safe, sanitary manner." These duties are to be carried out "as may be directed by the Administrator."
The facility's midnight census on November 28 documented 75 residents currently living at Imboden Creek Senior Living. All face potential impact from the staffing violation, according to the inspection report.
The dietary manager position represents a critical role in nursing home operations. These professionals oversee meal planning, food safety protocols, special dietary requirements, and nutritional assessments for residents with varying medical needs and eating restrictions.
Without proper certification, the dietary manager may lack training in areas such as therapeutic diets for diabetic residents, texture modifications for those with swallowing difficulties, or nutritional interventions for residents at risk of malnutrition or dehydration.
The facility appears to rely on monthly consultations with a regional registered dietician to supplement the uncertified manager's work. However, this arrangement doesn't meet federal requirements for on-site qualified dietary management.
The inspection occurred as part of a complaint investigation, though the report doesn't specify what complaint triggered the federal review. Complaint investigations typically focus on specific allegations of problems at nursing homes, often reported by residents, families, or staff members.
Imboden Creek Senior Living must now develop a plan of correction to address the violation and achieve compliance with federal staffing requirements. The facility could pursue certification for its current dietary manager or hire a replacement who already holds the required credentials.
The violation carries a "minimal harm or potential for actual harm" designation, indicating inspectors determined the deficiency created risk for residents but didn't document actual injuries or immediate jeopardy situations.
Federal regulations allow nursing homes to correct most violations through approved plans of correction that demonstrate how they'll achieve and maintain compliance. The facility must submit its corrective action plan and timeline to state health officials for approval.
The dietary management violation reflects broader challenges many nursing homes face in recruiting and retaining qualified staff across multiple departments, from nursing to food services to therapy programs.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Imboden Creek Senior Living from 2025-11-28 including all violations, facility responses, and corrective action plans.