Complaint Investigation Report

The investigation revealed the following:

Allegation: Facility staff failed to provide resident responsible parties with all requested records.

It was alleged that the resident responsible party request resident record from the facility and the facility failed to provide all requested records.

On 08/28/2025, between the hours of 9:51am - 10:11am, LPA interviewed A1 denied the allegation, stating the facility provides requested resident records within 48 hours. Requests from responsible parties for R12 and R9 were fulfilled, all records were provided and acknowledged in writing, no records were withheld, and none were reported lost or misplaced.

On 08/28/2025, between 9:18am - 2:17pm, LPA interviewed 8 staff regarding the allegation: 8 out of 8 denied the allegation. Of the 8 staff who denied the allegation: 5 staff stated not being involved in handling nor responding to request for records from family members or responsible parties while the other 3 staff stated yes to be involved in providing records by request.

On 08/28/2025, between the hours of 10:20am - 11:18am, LPA interviewed 11 residents regarding the allegation: 7 out 11 residents denied the allegation. 3 out of 11 resident were unsure of the allegation. 1 out of 11 residents were unable to confirm nor deny the allegation. Of the 11 residents: 7 residents who denied the allegation stated yes the facility has given their records request for themselves and or by their family, while the 3 residents who stated being unsure and would imagine the facility did provide the records ask for by their family and or themselves. Also 1 resident could not answer and went off topic in regards to the allegation.

On 10/01/2025 between the hours of 11:12pm - 12:00pm, LPA reviewed records and observed the following: The responsible party or designee signed and dated on 04/23/2025 receiving the description of records in-person were provided by the facility such as admission records (given on 04/23/2025), medical records such as physician orders, discharge paperwork, labs (given on 04/23/2025), care/service plan, medication list and outside provider forms. LPA reviewed the resident record and did not observe any documents that were not released as requested at the time of visit.