Complaint Investigation Report

responsible party had paid via check to the facility and the facility had also received payment via check from R1's long term care insurance, thereby creating an overpayment on R1's account. R1's Admission Agreement states that "discharge/death - any refund of the monthly fee that is owed to the Resident/Representative will be returned within fifteen (15) days." As the resident passed away on 09/13/2022, and today's date is 12/08/2022, it is beyond the stated refund time frame. Therefore, based on interview and record review, the allegation that "facility staff did not provide refund to resident's responsible person" is deemed SUBSTANTIATED at this time.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 9009-D):

Exit interview conducted, todays reports and appeal rights were reviewed and emailed to the Executive Director.