Complaint Investigation Report

Allegation: Facility is incorrectly billing an SSI resident

Based on interviews and record reviews, LPA confirmed with neutral witness (W1) that R1 continues to be billed at the market rate even though facility have been informed of the resident's SSI eligibility and have been requested to send a bill for the correct amount. The preponderance of evidence standard has been met, therefore the above allegation(s) was found to be substantiated.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties .

Exit interview conducted. Appeal Rights and a copy of this report provided via email.