Complaint Investigation Report

Allegation #1: Staff did not ensure resident in care was provided with adequate transportation services.

The complaint alleged that staff failed to arrange transportation for a resident (R1) due to R1's disabilities. On January 31, 2024, the department interviewed the Hospice worker (HW), who stated that there were no concerns regarding adequate transportation services for R1. The department also interviewed the placement agency (PA) on the same day; PA denied the allegation and asserted that transportation was provided without issue.

Additionally, on January 31, 2024, the department spoke with three staff members (S1-S3), all of whom denied the allegation. They indicated that during R1's admission, it was made clear that transportation was not part of the services the facility would provide.

On June 17, 2026, the department interviewed the Administrator (A1), who also denied the allegation. A1 stated that transportation to medical appointments was discussed during the client's admission to the facility. A1 mentioned that R1 was seen by Hospice Care once a week and that the Certified Home Health Aide (CHHA) visited the client three times a week. If R1 needed transportation, the CHHA would organize it.

On June 17, 2026, the department interviewed two other staff members (S1 and S2), who reiterated that the facility does not provide transportation for hospice clients.