Complaint Investigation Report

Record review of R1’s Identification and Emergency Contact form and R1’s admission agreement revealed R1’s responsible person to be Family Member #2 (F2). Interview with F2 at 4:15 p.m. on 07/18/24 revealed they had never requested R1’s records. Interview with the licensee at approximately 12:00 p.m. on 07/18/24 revealed F2 signed R1’s facility admission documents upon admission and was designated as R1’s responsible person. The licensee confirmed F1 requested R1’s hospice records. Since F1’s request was not specific, the licensee referred F1 to R1’s hospice agency for the records. Based on interviews and record review, the facility was able and willing to provide R1’s records to their responsible person, and they maintained R1’s records’ confidentiality. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health and safety risks were observed during today’s inspection.

Exit interview conducted. Copy of report provided.