Complaint Investigation Report

LPA also reviewed the facility’s incident reports and interviewed the administrator regarding R1’s change in condition. The administrator stated R1 was transported to the hospital after staff observed a change in R1’s wound. However, based on interviews, record review, and documentation confirming that staff adhered to repositioning schedules and assisted R1 as needed, there is not sufficient evidence to prove neglect or lack of care by the facility. Therefore, the allegation is Unsubstantiated.

Allegation: Staff is wrongfully evicting resident.

LPA conducted a complaint investigation regarding the allegation that the facility wrongfully evicted R1. During the investigation, the Administrator was interviewed, and R1’s facility records, admission documents were reviewed. The Administrator stated that since R1’s admission, the facility had not received payment for services provided. Documentation showed an outstanding balance of $20,822.40, representing 99 days of care billed at a daily rate of $183.05. Despite the unpaid balance, the Administrator reported that the facility continued to provide R1 with the same care, supervision, and services offered to all other residents. According to the Administrator, R1 repeatedly stated he could not make payment because R1’s Supplemental Security Income (SSI) benefits were pending. The Administrator contacted the Social Security Administration, which confirmed R1’s SSI benefits were not pending and that R1 had been receiving monthly SSI payments. LPA reviewed financial documentation supporting the outstanding balance and found records consistent with the administrator’s statements. No evidence was obtained indicating R1 was treated differently from other residents or that the facility attempted to evict R1 for reasons other than non-payment for services provided. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the facility wrongfully evicted R1. Therefore, the allegation is Unsubstantiated at this time.

No Deficiency cited during today's visit.

Exit interview conducted and a copy of this report signed and delivered