Complaint Investigation Report

Interview with the administrator revealed they never issued an eviction notice to R1 nor did they tell R1 they could not return. R1 was noncompliant with medical advice from their physician, so the facility and R1’s physician recommended to R1, R1’s family, and R1’s case coordinator that the facility may not be suitable for R1. Interview with S1 revealed R1 often had desserts and snacks high in sugar against medical and caregiver advice. Interview with S3 confirmed that R1 was not compliant with medical advice and was eventually admitted to the hospital due to a skin infection. Record review of R1’s physician’s report revealed R1 had a diagnosis of diabetes and a history of skin breakdown. An incident report from 05/09/23 confirmed R1 was sent to the hospital due to an infection of their amputated leg. Interview with R1 confirmed they never received an eviction notice. R1 stated that the SNF social worker told R1 they would move to a different assisted living facility upon discharge. Interview with the case coordinator and social worker revealed R1 was provided placement at an alternate facility based on the recommendation of the social worker. Although R1 was not consulted on the placement at a different facility, R1 was never evicted. Based on interviews and record review, the facility did not evict R1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health and safety risks were observed during this visit.

Exit interview conducted. Copy of report provided.