Complaint Investigation Report

Between 10:20am – 12:30pm, LPA interviewed the Administrator, two (2) staff and two (2) out of six (6) residents, who were able to communicate.

It was alleged that the facility did not accept R1 after hospital discharge. To investigate this allegation, LPA conducted an interview with the Administrator and was informed that upon R1's admission on 04/29/24, the Administrator attempted to arrange home health for R1's wound care. Five (5) Home Health agencies were contacted so that a proper medical care could be provided to R1. However, all five agencies refused/were unable to assign a Home Health to R1 due to insurance coverage limitations. On 05/09/24, was hospitalized and level of care for R1 changed; and therefore, the facility could not accept R1 back to the facility. Upon LPA’s request, the Administrator could not provide sufficient document regarding R1’s changes in the level of care. Additionally, the investigation revealed the Administrator did not submit the Eviction letter to the Community Care Department nor served a copy of 30-day Eviction notice to R1/family/representative.

On 06/13/24, a telephonic interview with R1 revealed that R1 had anticipated going back, however, the hospital doctor stated that R1 requires a higher level of care. No re-appraisal and no conversation with R1 was done by the facility's Administrator to inform that the facility can no longer meet R1's needs based on what the hospital/doctor said. Based on interviews and record reviews this allegation is Substantiated at this time.

Exit interview conducted, appeal rights explained and copy of this report signed and delivered.