Complaint Investigation Report

LPAs observed that on page five of R1's admission agreement, is states, "Per community policy, the admission agreement is automatically terminated on the date of the resident's death. The responsible party will not be responsible for any charges after the resident's date of death." On page five, it also states, "Within 3 days of the resident's death, the community shall send a copy of this admission agreement to serve as a reminder that the admission agreement terminates upon the resident's date of death and that no further payment is required and that there is no fee for storing the resident's property..". LPAs conducted an interview with R1's responsible party, W1. W1 stated that R1's rent was paid in full for the month of June 2025, which was in the agreed amount of $8,500.00. W1 stated that R1 passed away on June 7, 2025, and the facility did not issue them a refund for the remaining twenty three days of June 2025, as agreed upon in the admission agreement. W1 stated that they are currently owed $6,516.59. W1 stated that they also sent the facility a demand letter to the Licensees on May 26, 2026, regarding the refund for R1, but that the they still has not issued them a refund. LPAs reviewed a bank statement that confirmed that W1 made a payment in the amount of $8,500.00 for R1's monthly rent for June 2025. LPAs also reviewed the certificate of death for R1 which confirmed that R1 passed away on June 7, 2025. LPAs conducted an interview with Licensee Maricel Nepomuceno. The Licensee admitted that a refund had not been issued to W1 after R1 passed away on June 7, 2025. The Licensee confirmed that W1 is currently owed the remaining twenty three days for R1's June 2025 rent. The Licensee also confirmed that they also received the demand letter from W1 on May 26, 2026.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegation that, facility did not issue responsible party proper refund. The preponderance of evidence standards has been met; therefore, the above allegation is SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D. An exit interview was conducted via telephone with Licensee Maricel Nepomuceno. A copy of the report and appeal rights were provided to an authorized facility representative at time of visit.