Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management - Other visit to this facility in conjunction with a complaint control #31-AS-20250917093042 . LPA met with the Licensee and explained the reason for the visit.

During the course of the investigation for complaint control #31-AS-20250917093042, regarding the allegation of unlawful eviction of Resident #1 (R1), the LPA’s interview with the Licensee on 09/22/2025 confirmed that the Licensee had received a $3,200 payment for September 2025 but would not be re-admitting R1 into the facility following their hospital discharge . Furthermore the Licensee informed LPA, R1's Licensed Clinical Social Worker (LCSW) and R1's responsible party had requested September's month fee be returned as it would be needed to place R1 into another facility. According to the Licensee they had informed the responsible party that the $3,200 would be returned to them by 09/24/2025. The Licensee informed LPA that the check amount deposited into their account had been removed and they suspected the R1's responsible party had requested the money returned through their bank. R1's family member arrived to the facility today at approximately 3:30 p.m., and removed R1's personal belongings. Licensee will contact R1's Home Health to take R1's hospital bed. The matter of the monthly fee is considered resolved.

No deficiency cited. Exit interview conducted. Copy of report provided.