Complaint Investigation Report

Therefore, based on interviews conducted, the allegation " Facility did provide residents authorized representative with a refund" is SUBSTANTIATED.

Regarding allegation " Facility did not give residents authorized representative a copy of the admissions agreement": LPA Colvin conducted interviews with Administrator and multiple families of recent residents at the facility. Administrator stated to LPA Colvin that the Admissions Agreement for R1 was completed in R1's family's home, and that R1's family received a copy due to R1's family having a copier at their home and having made copies of other documents to provide the Administrator. Additional interviews provide conflicting information, and persons interviewed for another similar complaint (#18-AS-20220824151755) also claim to have not received a copy of the Admissions Agreement. Administrator does not have any evidence other than their interview that R1's family received a copy of the Admissions Agreement. Therefore, based on more interviews stating that they had not received a copy of the agreement than those stating that they had, the allegation "Facility did not give residents authorized representative a copy of the admissions agreement" is SUBSTANTIATED.

Due to observations made by LPA Colvin, the facility was cited and deficiencies noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy this report, LIC 9099D, and appeal rights were provided to caregiver Tinisha Sherley during the exit interview. Caregiver Tinisha Sherley refused to sign the report, which is noted below. Copies left at the facility for Administrator to review.