Complaint Investigation Report

An immediate civil penalty of $500 was issued due to lack of supervision which led to R1's eloping and wandering away from the facility.

Allegation: Staff billed resident for services not rendered.

LPA reviewed R1’s assessment dated 6/11/2024 which shows that R1 needed the following care: status checks (16 per shift), psychosocial (behavioral interventions), dressing, laundry, medication assistance, and special care (exit seeking). This combination of care put R1 at a level 5 which was billed at $3,000 per month. On the night that R1 eloped from the facility, staff were assigned to complete 16 status checks per shift in addition to supervising R1 for exit seeking. Therefore, R1 was being billed for supervision that was not being provided at the time of the elopement.

Based on the information detailed above, LPA finds the allegations to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiency cited on 9099-D. Appeal rights were printed and given.

Exit interview conducted. A copy of this report was left at the facility.