Complaint Investigation Report

Per HWD, TSPs are temporary services provided by the facility that goes on a resident’s care plan. A resident’s level of care is determined by a point system which is generated into an invoice. Review of facility documents showed that R1 received wound care orders on 02/06/2024 which were not discontinued until 02/27/2024. Facility documents indicated that R1’s Responsible Party received verbal notification on 02/06/2024 that R1’s care level would be affected due to requiring wound care services. On 02/21/2024, R1’s Responsible Party was verbally notified that the wound care services would stay in place since the orders were not discontinued by the Physician. Facility was unable to provide documentation showing that R1’s Responsible Party had received a written notice of R1’s updated service plan with the additional charges included. Therefore, this allegation is Substantiated .

There is an allegation that “Facility did not respond to Representative timely.” Complainant stated that R1’s Responsible Party contacted the facility multiple times to address charges related to R1’s care. Email correspondence provided to LPA indicated that R1’s Responsible Party contacted the facility on 04/04/2024. Responsible party was told that they would have an answer to their inquiry by 04/08/2024. Further correspondence indicated that R1’s Responsible Party followed up on 04/17/2024 and still did not receive a response. Therefore, this allegation is Substantiated .

A finding that the Complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted. Copy of report, LIC811 (Confidential Names), LIC9099D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to Regional Executive Director. Signature on form confirms receipt of documents.