Complaint Investigation Report

LPA also interviewed the health and wellness director (HWD) who stated that R1 was told that they could not return to the facility with a stage 3 wound. ED and HWD both stated that the resident could return once the wound was no longer a stage 3. There was no documentation available for the LPA to review the official diagnosis of the wound. Title 22 states, " (a)Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly:(1)Stage 3 and 4 pressure injuries ". R1 never received an official eviction letter and relatives removed R1's belongings. Therefore the allegation "Illegal eviction" is UNSUBSTANTIATED.

During the course of the investigation LPA found through interviews with the ED, R1, and HWD that between the facility van with a lift was down. This van was the primary source of transportation for wheelchair residents. However the ED showed LPA receipts of Uber's that were scheduled for R1. Uber did cancel multiple rides due to not having wheelchair accessible vehicles. However the facility made multiple attempts to assist R1 with getting to their appointments. R1 states that they eventually found their own transportation that they paid for. A review of R1's admissions agreement and handbook showed that the facility does not guarantee transportation but that they will assist in making arrangements which the facility did. Therefore the allegation "Facility did not provide or assist in finding transportation for appointments" is UNSUBSTANTIATED.

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 allegations are UNSUBSTANTIATED