Complaint·October 10, 2024

The investigation revealed the following. Regarding Allegation : Licensee did not provide adequate notice of fee increase to residents – It is alleged the licensee did not provide R1 with adequate notice of fee increase. On 10/01/2024, R1 was given a notice of rate increase based on level of care required and would be effective 11/01/2024. According to the notice, staff will be conducting assessments the week of 10/21/2024, and R1’s new rate will be based on new assessment conducted. Per Title 22, Division 6, Chapter 8, Article 09. Resident Records- 87507(4) Admission Agreement - Modification conditions, including the requirement for the provision of at least 60 days prior written notice to the resident of any rate or rate structure change, or as soon as the licensee is notified of SSI/SSP rate changes. Licensee did not provide R1 with adequate notice of rate increase. One (1) out of one (1) resident interviewed collaborate this allegation. Two (2) out of the two (2) staff interviewed collaborate this allegation. Based on interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . Licensee did not abide by the terms and conditions of resident's admission agreement - It is alleged the licensee did not abide by R1’s admission agreement. During records review, LPA Ramirez observed R1’s original admission agreement signed by R1 and a facility representative, on 11/03/2021. Per the facility admission agreement, page 4- Section 8. Rate Change- A. “The Agreement must inform the resident of the conditions under which rates may be increased and provide no less than 60 days prior written notice to the resident or the resident’s responsible person.” On 10/01/2024, Licensee issued a notice of rate increase to R1, which did not adhere to R1’s admission agreement. One (1) out of one (1) resident interviewed collaborate this allegation. Two (2) out of the two (2) staff interviewed collaborate this allegation. Based on interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . One (1) violation was cited during this investigation. Exit interview was conducted. A copy of this report, 9099-D and appeals rights was provided via email.