Complaint Investigation Report

The texts states it will be a second fulltime staff to supervise R1 between 10pm to 6am. The text states the increase would start 2 days after receiving the notice. The text states November would be prorated, December’s rent would be $11,880 (the original $7000 rent plus the one on one fee), and starting 1/1/2024 it would be $13,068 per month. The written rate increase notice reviewed, dated 11/20/2023, states the rate as of 12/1/2023 would be $11,800 per month and as of 1/1/2024 would be $12,980 due to a 10% increase. Based on the information, the facility did not give sufficient notice of rate increases for January 2024. Another concern brought forth was that the facility wanted to increase R1’s rent starting in January by more than 10%. However, Title 22 regulations and health and safety code currently do not have increase caps for RCFEs. Based on the information obtained, the allegation is deemed Substantiated at this time.

On the allegation: Facility is not following a resident's care plan. It was alleged that R1 required a one-on-one staff overnight for wandering behavior, so the facility increased R1’s monthly fee in order to provide additional staff in the facility. However, it was alleged the facility did not provide additional staff following the rate increase. A witness stated they did a “stakeout” at the facility from 10pm to 6am and did not see any additional staff go into the facility.

LPA reviewed a text message dated 11/21/2023 from the Administrator to R1’s responsible party stating they would be sending a 2-day notice that includes a rate increase to add a second overnight staff to provide supervision at a cost of $4880 per month. The texts states it will be a second fulltime staff to supervise R1 between 10pm to 6am. The written increase states an additional $4800 would be added for “one on one supervision.”

Administrator stated R1 was very aggressive and was up most of the night and would go through the kitchen refrigerator and pantry, and had other aggressive behaviors. Administrator stated the one NOC staff could not attend to round on the other residents and properly supervise R1, so they added an extra staff overnight. Administrator stated typically the PM shift stayed an extra 1-2 hours to help the NOC staff, and then Administrator came in around 11pm-12am and stayed until 4-5am after R1 went to bed. Administrator stated R1 did not need a one on one to watch them every second, but rather they just needed a second staff overnight to provide adequate supervision to R1.