Complaint Investigation Report

assessment dated February 28, 2026, R1 required cue and one person assistance during transfers. R1's transfer ability required minimal assistance with daily supervision and cueing for transfers. R1 did not require any assistance during mealtime.

Facility's internal notes indicated that, on March 9, 2026, R1 complained of pain and was advised by their hospice nurse to be transported to the hospital. R1's family transported them to the hospital where R1 was admitted. On March 18, 2026, the facility notated that R1 remained at the hospital due to a diagnosis of pneumonia. According to text message correspondence between the ED and R1's responsible party, dated March 21, 2026-March 22, 2026, R1's responsible party indicated that they would be moving R1 out of the care home. ED indicated that they would accept the text message as the 30-day notice for move out and agreed to a prorated rent amount for the month of April to the 19th. ED indicated that if the full amount is paid for April that the facility would refund for anytime after the 30-day notice. ED offered to calculate the April cost through the 19th if they wanted to pay that amount instead. Correspondence also indicated that R1's responsible party had spoken with facility staff regarding putting a stop to R1's Level 4 care and medication and laundry services as of March 21, 2026. ED indicated that they would figure it out based on the facility's guidelines.

According to R1's Admission Agreement, signed on November 24, 2025, the facility calculated fees on a monthly basis. The Admission Agreement indicated that "fees are not adjusted for any partial or full month or for any period of time you may be absent from the Community including, but not limited to, periods of hospitalization...Your Apartment will continue to be reserved for and considered to be used by you until the Agreement is terminated pursuant to the termination provisions in Section 4". Section 4 of the Admission Agreement indicated that "you may terminate this Agreement at any time and for any reason by giving us a written notice of termination at least thirty (30) calendar days prior to the date of the termination stated in your notice. You will continue to be responsible for payment of all charges, fees, and expenses incurred by you during such thirty (30) calendar day notice period or until you have moved from the Community and removed all of your possessions from the Community, whichever is later". R1's Resident Move Out Form indicated that they moved out on April 4, 2026 with the Bill Through Date of April 21, 2026.

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