Complaint Investigation Report

LPA requested resident roster, staff roster, hospice care plans, physician reports, pre-placement appraisals, appraisals, identification and emergency contacts and other service documents which related to rental fees and back pay. A plant inspection was conducted and above-mentioned records were reviewed.

The investigation revealed the following:

Regarding the allegation “Staff did not provide proper food service to resident in care”, It has been alleged that staff were uninformed regarding the feeding procedures for R1 during the weekend of 05/26/2023 through 05/29/2023. Record reviews revealed that on 05/27/2023 R1’s hospice team ordered “NPO” (Nothing By Mouth), which is shorthand for a period of time in which one may not eat or drink anything, aside from comfort medication. Interviews held on 06/28/2023 and 03/18/2024 revealed that four (4) out of 4 staff and three (3) out of four (4) residents have denied the allegation had taken place, while one (1) resident was unable to provide a verbal or visual response. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated .

Regarding the allegation “Staff did not follow proper refund requirements”, it has been alleged that staff did not provide any refund(s) for the dates as follows: 06/02/2023 through 06/05/2023. Record reviews revealed that the balance of $11,916.68 was paid to a family member of R1, posted on 06/12/2023. Record reviews also indicated that "unused rent moneys will be returned 15 days after room is vacated of all belongings, clothing and furnishings." and that R1's hospice items were removed from the facility on 06/04/2023. Interviews held on 06/28/2023, 03/18/2024 and 04/09/2024 revealed that 4 out of 4 staff and three (3) out of four (4) residents have denied the allegation had taken place, while one (1) resident was unable to provide a verbal or visual response.

Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated .