Complaint Investigation Report

Allegation #4- Staff did not allow resident back to facility after hospital stay.

The details of the complaint alleged that the facility did not allow resident back after hospital stay. It was reported that the family member of the resident did not want to return the resident to the facility because they didn’t think the resident was properly cared for. On 04/24/2026 from 11:00am-2:00pm, the department investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S4), residents (R2-R10), and on 06/08/2026 the department interviewed witness (W1) regarding the allegations. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative.

4 of 4 staff denied the allegation that Staff did not allow resident back to facility after hospital stay. Staff (S1) stated that the family member of the resident came on 03/24/2026 to take the resident to the hospital for evaluation and never brought the resident back to the facility. S1 also stated on that day, the family member removed all of the residents’ belongings from the facility. S1 further stated that there wasn’t a valid reason that the resident could not return to the facility, and no one said otherwise. S2-S4 stated that they had no knowledge of a reason that the resident would not be allowed to return to the facility.

The department did not find any documentation or communication that would have denied the resident from returning to the facility.

R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative. The department interviewed witness (W1), and they stated that the facility did not refuse to allow R1 back. However, they felt that R1 would be safer in a different facility and chose to take R1 elsewhere.

Based on interviews conducted, there is insufficient evidence to support the allegation that Staff did not allow resident back to facility after hospital stay. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .

No citations were issued for this complaint investigation.

An exit interview was conducted with Ace Huynh, Executive Director, and a hard copy of this Complaint Investigation Report was provided.