Complaint Investigation Report

LPA Marrufo obtained copies of emails that Administrator (ADM) Bani Kaur sent to R1’s Case Manager (CM) and Care Team. ADM requested R1’s Physician’s Report from CM in emails dated 10/23/2024, 11/13/2024, and 11/19/2024.

During interview on 05/01/2025, ADM stated that ADM requested R1’s Physician’s Report from R1’s Care Team multiple times. ADM stated R1’s identification and Medicare were not being approved. ADM stated to have told R1’s Care Team that ADM could no longer wait and took R1 to an urgent care clinic to have a Physician’s Report completed.

LPA Marrufo obtained copies of the following emails sent from ADM to R1’s Care Team. On 10/18/2024, ADM emailed R1’s Care Team asking them to ensure that R1 has a 30-day supply of medications. On 11/13/2024, ADM requested R1’s Care Team to provide an update about if R1’s insurance has been updated and that ADM needed R1’s medications refilled as soon as possible. On 02/21/2025, ADM sent an email to R1’s Care Team stating that ADM needed medications for R1.

LPA Marrufo obtained copies of R1’s Medication and Administration Record (MAR) for the months of January to March 2025. R1’s MAR states R1 was administered medication M1 every day in January and February of 2025. R1’s March 2025 MAR has horizontal lines from the dates 03/01/2025 to 03/05/2025 and 03/22/2025 to 03/31/2025. Each day from 03/06/2025 to 03/17/2025 indicates R1 was administered a dosage of M1. The March 2025 MAR indicates R1 was hospitalized from 03/18/2025 to 03/21/2025.

LPA Marrufo obtained a copy of R1’s Centrally Stored Medication and Destruction Record, which records that R1’s M1 medication had a start date of 03/06/2025.

On 05/01/2025, R1 stated during interview that the staff did not understand English. R1 stated the staff’s inability to speak English would result in staff not giving R1 medication according to prescription.