Complaint Investigation Report

Complaint alleges facility increased residents services without proper notice. Based upon a review of resident records LPA identified a notice of rate increase dated 11/1/2023. The letter stated that the rate increase for R1 was effective the same date of 11/1/2023 and is not within required time frame to for proper notification. Complaint also indicates an increased level of care not given proper notice. In addition, LPA identified a documented assessment for R1 indicating a higher level of care dated 10/17/2023. However the assessment did not include the increased rate and effective date nor was it signed by R1 or R1's responsible party indicating acknowledgement.

Allegations, f acility did not follow physician’s order when administering medication to a resident and facility increased residents services without proper notice are found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.