Complaint Investigation Report

There is no other documentation that show the facility stopped responding to W1's itemized bill report request, or that W1 reached out after the November 24, 2025 email to request additional Itemized bill reports. Therefore, there is not sufficient evidence to corroborate that the facility did not provide W1 an Itemized bill report.

LPA Martinez reviewed R1's Negotiated Service Agreement, which was signed by W1 on May 15, 2025. The Negotiated Service Agreement indicates facility staff will report any concern to the hospice agency and to R1's primary care physician. During records reviews, it was learned that facility staff reported R1's health concerns to W1. Three out of five staff members reported they informed W1 of R1' health care changes. Due to the information obtained, during the investigation, there is not sufficient evidence to corroborate that the facility did not notify R1's responsible party of a change in condition .

LPA Martinez interviewed five care staff members. Five out of five care staff members indicated they were not short staffed in June of 2025. LPA Martinez interviewed four residents. Two out of four residents indicated more staff is needed. Two out of four residents reported they had no staffing concerns. LPA Martinez reviewed June 2025 work schedule, which indicated that care staff shifts were covered.

Due to the above noted information, 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, and therefore the allegations are unsubstantiated. An exit interview was conducted, and copy of this report was provided to the facility.