Complaint Investigation Report

Allegation #1: Facility refused to obtain medical attention for the residents in care.

The complaint alleged that the staff refused to take the resident to the hospital despite the resident being in pain. A review of the LPA records for Resident 1 (R1) showed multiple hospital visits from June 12, 2022, to July 14, 2022. During the investigation, LPA interviewed the Administrator (A1), who denied the allegations and stated that R1 had been admitted to the facility only a month before R1 began complaining about pain. A1 asserted that the staff always call 911 when R1 requests to go to the hospital. LPA Richard also interviewed one staff member (S1), who denied having provided medical attention to R1. S1 mentioned that R1 complained of pain even after taking pain medications, but also noted that R1 refused to take the pain medication at times. Additionally, LPA interviewed three other residents (R2-R4), all of whom confirmed that the staff would call 911 when they needed to go to the hospital.

On October 9, 2025, at approximately 9:30 am, LPA interviewed the Innovage Representative regarding R1. The representative stated that R1 is no longer with Innovage after leaving the facility. LPA Richard was unable to interview R1, as R1 is no longer residing at the facility.

Based on the evidence gathered, interviews conducted, the preponderance of evidence standard has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the above-mentioned allegation is found to be UNSUBSTANTIATED.