Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff does not ensure resident is allowed to be readmitted to the facility . It is alleged that on 06/09/2026, facility is refusing to readmit R1 from SNF due to care needs unless they are placed on hospice care. All staff interviewed denied the allegation. Staff stated that R1 was transferred to SNF on 05/19/2026 due to worsening respiratory conditions. Prior to R1's release at SNF, S3 re-assessed R1 on 06/10/2026 to ensure that their needs are met upon their return. However, S3 determined that R1's condition has changed requiring a higher level of care that the facility was unable to provide. R1 also has a highly communicable condition that poses a high risk of infection to both staff and the current residents if readmitted. Staff informed R1's family about the decision and facility will provide a 30-day eviction notice to terminate the residency agreement. Staff also added that they are prepared to assist in finding appropriate alternative placement for R1. (5) of (8) residents stated that the facility readmitted them to the facility after being hospitalized, without any issues. All (8) residents stated that staff provide the care and assistance they need. LPA reviewed R1’s physician reassessment which confirmed that R1 requires a higher level of care due to their complex healthcare needs, chronic comorbidities and high risk of antibiotic resistance. In addition, physician stated that the facility is unable to provide services suitable for R1. Documentation reviewed and interviews conducted do not corroborate this allegation.

Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided to Donghyun Moon, Administrator.