Complaint Investigation Report

It was alleged that the facility had abandoned a resident at an unlicensed facility. Interview with administrator (S1) revealed that resident #1 (R1) had been at the facility on 3.18.2026 at 6:00PM and left the facility on 3.19.2026 at 9:00PM. R1 was removed from the facility via medical transportation. R1 was remove from the facility due to needing a higher level of care, S1 was not aware exactly where R1 was going. S1 did not communicate or disclose with R1's family where they will be going. R1 did not receive any pre-placement appraisal before leaving for another facility. Interview with S1 revealed that they just received the complete address of where R1 was transferred to on 4.20.2026 at 11:00 AM in-front of LPA. Proper placement was not met the resident needs and S1 did not ensure facility was licensed for R1 to be transferred.

Based on information obtained from records review and interviews, the above allegation is deemed substantiated .

Allegation: Staff did not communicate with responsible party regarding resident's changes.

It was alleged that facility staff did not communicate with R1 responsible party regarding resident changes. An interview with residents revealed that they have no issue with facility staff communicating with their responsible party. Interview with S1 revealed that they have no information as to where R1 is going and let the referral agent communicate with R1 family.

Based on information obtained from records review and interviews, the above allegation is deemed substantiated .

Exit interview conducted, appeal rights discussed, and a copy of this report issued.