Complaint Investigation Report

On the allegation: Staff did not give a copy of the admission agreement to the authorized representative

It was alleged by reporting party that a copy of the documents signed, including the admission agreement, was not provided to them.

Licensee stated they give the representatives the binder with the agreement to review and sign, so they have time to review documents when the documents are returned, if the representative asks for a copy the facility provides a copy, but stated, if they didn’t ask for a copy, then the facility does not provide copies. Licensee was unsure if representative asked for a copy.

Title 22 regulations 87507 (e) states “The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative… immediately upon signing the admission agreement…”

Based on interviews conducted, the administrator was not certain if copies were given and the representative stated they were not provided with copies of admissions agreement paperwork. At this time the above allegation was found to be substantiated.

Copy of report and Appeal Rights issued at the time of the visit.