Complaint Investigation Report

Interviews with Executive Director and administrator conducted on 05/15/23 revealed that ombudsman did not follow proper protocol when requesting medical records, facility documents, in addition to facility census. Interview with three (3) out of three (3) staff on 05/15/23 and 05/20/23 reveal that the ombudsman’s request for R1’s medical documents were not made with the administrator and did not include written consent at time of the request.

Based on interviews during this and previous licensing visits there is insufficient pertinent information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Exit Interview conducted. Copy of report issued.