Complaint Investigation Report

LPA interviewed ED who stated that during R1’s time at the facility, there were several meetings held with R1’s RP regarding the services being provided to R1. ED stated that the RP would repeatedly request to have the resident reassessed to “lower the points” on their care plan, thus making the monthly bill cheaper. ED stated “This made it so the resident was deemed pretty much independent for everything. (R1) would have to ask for help in most cases, if (R1) needed it.” Additionally, S5 noted that although housekeeping is scheduled to service resident rooms once a week, housekeeping does not clean up feces or urine and that is the responsibility of facility caregivers. With the resident being deemed mostly independent, with the exception of medication management and stand-by assistance for bathing and transfers, it would be reasonable to assume that the resident would need to ask for staff assistance for additional housekeeping needs.

LPA reviewed R1s care notes for the entirety of the resident’s stay at the facility. On July 30, 2025, there was note made by ED stating “(RP) came into my office expressing some frustration with (R1s) level of care, (RP) says (RP) is still being billed for the wrong level of care and that (R1s) care has been extremely lacking. ED let (RP) know that I (ED) would follow up with BOM (business office manager) and Wellness Team.” LPA reviewed three separate assessments conducted by the facility on R1 during their five-month residency at the facility.

Although the allegation may have happened, the preponderance of evidence has not been met, and the allegation is therefore UNSUBSTANTIATED. Exit interview conducted. A copy of this report was provided to Executive Director, Ilona Corpus.