Complaint Investigation Report
The investigation revealed the following:
Allegation: Facility is refusing to accept resident back from skilled nursing facility.
It was alleged R1 was admitted to the hospital on 03/16/2025 and subsequently transferred to a skilled nursing facility (SNF). It is alleged upon discharge from the SNF the facility refused to accept the resident back to the Villa Redondo.
On 05/08/2025 between the hours of 2:04pm -2:47pm, LPA interviewed Staff #1(S1) – Staff #4 (S4) regarding the allegation. On 05/15/2025 between the hours of 9:24am – 10:39am, LPA interviewed Staff #5 (S5) – Staff #7 (S7) regarding the allegation. Staff #1 (S1) – Staff #7 (S7) were unaware of the allegation. S1 – S7 interviews indicated general awareness that returning residents must meet reassessment and care level requirements. No staff reported being involved in or aware of any resident being permanently denied re-entry in the past. 7 out of 7 staff denied the allegation of facility not allowing the resident to return to the facility from Skilled Nursing Facility (SNF).
On 05/14/2025 at 11:51am, LPA received interviewed with the Administrator (A1) via email (document dated 05/08/2025) regarding the above allegation.
On 05/08/2025, according to the Administrator (A1) Maria Bravo, stated the resident’s return was dependent upon progress in physical therapy and the results of a reassessment. Documentation and correspondence confirmed that the resident was scheduled to return on 05/08/2025. On 05/14, Administrator stated R1 returned to the facility on 05/09.
On 05/08/2025 between the hours of 2:25pm – 2:28pm, LPA interviewed Resident #2 (R2). On 05/14/2025 between the hours of 9:37am – 10:20am, LPA interviewed Resident #1 (R1), Resident #3 (R3) – Resident # 8 (R8). (1) out of (8) residents interviewed confirmed the allegation; (7) out of (8) residents denied the allegation.
On 05/15/2025 at 10:08am, LPA observed R1 has returned to the facility.
Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has not been met, therefore the above allegation is found to be unsubstantiated.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction