Complaint Investigation Report

On 04/03/2024, LPA Chochian conducted a complaint investigation visit to the facility above from 10:00am to 11:00am. During this visit, LPA requested and received relevant documentation pertinent to the complaint allegation for record review. LPA Brian Phillips reviewed the documentation. R1’s physician report states that R1 has a primary diagnosis of Alzheimer’s dementia including the loss of cognitive functions. The documented secondary diagnosis for R1 is atypical depressive disorder with negative mood changes due to changing environments. Medical admission assessments by the facility documented that R1 was forgetful/confused with mood/personality changes. The facility admission agreement was signed and dated by the responsible party of R1 on 07/29/2022 prior to R1’s move in date of 07/31/2022. This admission agreement states that the facility can terminate the agreement upon thirty (30) days written and verbal notice to the resident/responsible party if it is determined that the resident has a need not previously identified and a reappraisal has been conducted with the determination that the facility is no longer appropriate. The admission agreement states that the facility is not designed or licensed to provide higher levels of care for serious mental or emotional disorders. If it is determined a resident is a danger to themselves or others and it is inappropriate for a resident remain in their apartment, then they will be asked to leave the facility and the admission agreement will terminate. The facility may discharge a resident if they present an immediate physical threat or danger to themselves or others. A resident may also be discharged if their dementia/mental disorder results in ongoing behavior that requires care and supervision greater than the facility can provide. Interview and documentation provided by Executive Director revealed that on 01/25/2024 the facility held a meeting with R1’s family to discuss R1’s changes in behaviors and possible evaluation for R1’s changing medical condition. R1’s doctor then ordered R1 to be admitted to a psychiatric hospital for further evaluation. On 01/28/2024, R1’s family, who had been in communication with R1’s doctors, indicated a bed was open in the hospital unit and R1’s family took R1 to the psychiatric hospital for a 14-day time period. All licensing agency interviews with facility staff and the responsible party of R1 indicated that the resident would not be returning to the facility after R1 was evaluated/reappraised while in the psychiatric hospital. Although Reporting Party indicated it was the facility that did not allow the resident to return, the Executive Director provided documentation and notes indicating the hospital social worker suggested to R1’s family discharging R1 to a Skilled Nursing Facility (SNF) for further medication adjustments with a doctor onsite. On February 10, 2024, R1’s family member verbally told the facility R1 would likely not be returning to the facility. R1’s family member then began removing R1’s personal belongings from the facility on 02/20/2024. R1’s family member reported to the facility on 02/23/2024 that R1 was discharged to a SNF. On 02/29/2024, R1’s family