Complaint Investigation Report

According to R1 and R2’s admission agreement, both residents moved into the facility on 03/27/2022. R1 and R2 moved into a shared room in the Memory Care unit (the Villa) with a capacity of twelve (12) bedrooms. Total monthly rate for both residents is $8945. Monthly rate for residential service for R1 is $4495, monthly rate for cares services for R1 is $3500, and monthly rate for residential services for R2 is $950.

The Department requested for R1’s medical documents for review. On 04/07/2022, R1 was transferred to the hospital due to a fall and was discharged same day noting no serious injuries. On 04/08/2022, R1 had a fall and fell onto right hip area witnessed by R2. R1 was transferred to the hospital for further evaluation due to pain. R1 had a resent periprosthetic fracture on right femur admitted in February. R1 has been observed for the following conditions: right hip periprosthetic fracture, now admitted for right hip dislocation. R1 was discharged to a Skilled Nursing Facility. R1 returned to the community on 04/28/2022. R1 was out of the community for 18 days. According to R1’s admission agreement, if you are absent from Meadow Oaks of Roseville for more than fourteen (14) consecutive days, you will receive a pro-rated credit towards your Monthly Care Fee starting on day fifteen (15). No credit is given for an absence that is less than fourteen (14) consecutive days. The facility is responsible to refund RP for the remaining 3 days the resident was out of the community.

On 05/02/2022, R1’s responsible party (RP) gave the facility a 30-day notice via email. Facility received 30-day notice and indicated that R1 and R2 will move-out on 05/31/2022. According to Business Office Director (BOD), Rayna Gabriel, R1 and R2’s RP had moved residents out before move-out date. RP physically moved R1 and R2 out of the community on 05/08/2022. According to complainant, the facility did not refund R1’s RP for the remaining 22 days that resident had officially moved out of the community. According to R1’s admission agreement it states, you or the responsible person shall remain liable for the monthly fee until the later of the date on which this agreement terminates; or the date in which your apartment is vacated and all property removed from it. Interview statement gathered from BOD indicated R1’s RP is responsible to pay for the remaining days although R1 has moved out of the facility. This is facility’s policy and it’s stated in R1’s admission agreement.

The Department requested for R1’s and R2’s ledger for review. R1’s ledger indicated the total amount due for the month of April 2022 is $10,752.90. R2’s ledger indicated the total amount due for the month of April 2022 is $929.03. R1 and R2’s RP sent a check to the facility in the amount of $9645.97. The facility used the check to pay R2’s fee of $929.03 and the remaining amount was paid towards R1’s fees.