Complaint Investigation Report

LPAs obtained a copy of ADMs email to RP1 sent on December 14, 2023 with an attachment of the visitor log as requested by RP1.

On Monday, December 18, 2023 RP1 texted ADM that R1 will be removed from the facility and to send all clothes, medication and instruction with R1.

LPAs obtained the following documents from ADM. Handwritten inventory of R1s personal clothing items signed in behalf of R1s POA by the ambulance staff who ADM stated picked up R1 from the facility to transport R1 to the new facility.

LPAs obtained a handwritten medication release form of R1's medication dated 12/19/23 at 10:00 a.m. The document listed all medications and says to "see label" for instruction for each medication. The document is signed by someone that ADM stated was the ambulance staff who came to pick up R1 to transport R1 to the new facility. LPAs obtained an additional document with R1's medication list with instruction dated 12/19/2023 and signed by ADM and by the ambulance staff.

LPAs obtained a copy of ADMs cellphone call log. ADM had telephone calls with RP1 on the following dates: 12/12/23, 12/13/23, 12/15/23 (missed call), 12/15/23 2:55 p.m. incoming call (IC). 12/15/23 4:53 p.m. outgoing call (OC), 12/15/23 6:39 p.m. (IC), 12/17/23 1:53 p.m. (OC), 12/17/23 2:01 p.m. (IC), 12/19/23 10:03 a.m. (OC).

During interview ADM stated that there was no agreement between and ADM and RP1 to regularly update RP1 regarding R1's even if there was no change in R1's condition. ADM stated during interview that R1 did not have any change in condition while at the facility. During interview, ADM stated that when RP1 texted ADM asking why hospice had not contacted RP1 for 4 weeks, ADM stated that ADM has no control over when hospice agencies call responsible parties. ADM stated ADM gave RP1 the hospice contact information.

LPAs conducted a telephone interview with R2's Responsible Party (RP2). During interview RP2 stated ADM communicates with RP2 regarding R2s care.