Complaint Investigation Report

Interview with administrator also reveal contacted R1 responsible party several times but have not had any success in obtaining a response in regard to collection/disposal of R1s belongings. LPA review of admissions agreement reveal the document to be missing signatures and/or initials of responsible party/licensee and Client/Resident Property and Valuables form only notes a hospital gown signed on 12/20/2020 by Licensee/Designated representative. Administrator revealed that due to responsible party not returning Client/Resident Property and Valuables form, he created new form to record R1 only had a hospital gown when admitted. Administrator revealed responsible party picked up R1s belongings today, 03/16/2023.

Based on the information gathered during interviews and record review there is insufficient pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.