Complaint·March 9, 2023

Based on the LPA's investigation, the investigation revealed the following. For Allegation – Staff unlawfully evicted resident. Interviews conducted with S#1 & S#2, communicated that R#1, was admitted to the facility on 10/06/22 and R#1 came to the facility from a skilled nursing facility. Administrator #2 evaluated R#1 at the skilled nursing facility and seemed like a good fit for the facility. The same night R#1 arrived, R#1 exhibited behaviors not disclosed to the facility. R#1 was exhibiting Dementia behaviors, such as: Sun downing, taking pamper off completely, and hanging out of the bed. R#1’s family took R#1 to a Urology doctor because R#1 came from the skilled nursing facility with a UTI. Family member claiming that R#1 behaviors were likely from the UTI R#1 had. The doctor communicated that R#1’s nightly behavior was from Dementia not the UTI. On 10/12/22, S#1, texted R#1 family member, let family member know that R#1 needed a higher level of care which the facility could not provide and R#1 needed to go to the hospital for the UTI. They volunteered to help find a new appropriate facility for R#1, were R#1 could be properly cared for because of R#1 Dementia extreme behaviors. Interviews conducted with S#3 – S#6, communicated that R#1 needed a lot of care. The staff had to be looking in on R#1 every hour to make sure R#1 was not falling or hanging from the bed, still had R#1 pamper on, and not trying to fall from R#1 wheelchair. R#1 would sleep during the day and slump over R#1 wheelchair because R#1 did not sleep during the night. Interviews conducted R#1 & R#3, could not communicate with LPA, R#1 was not able to communicate verbally and R#3, was not available for interview. R#2, communicated that R#2 has no issues with the facility. LPA reviewed R#1 - Physician’s report dated 10/03/22, it stated that R#1, needed basic assistance for bathing, eating, and help with changing clothes and diapers. The physician’s report also indicated that there was no sun downing or any other behavior which needed a higher level of care. Skilled nursing documents dated 10/03/22, showed that R#1 did have a UTI when R#1 was admitted to the facility. R#1 was admitted to the hospital on 10/17/22 and never returned to the facility per family member decision, R#1 was not illegally evicted. The interviews and records review did not concur with the above allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated An exit interview was conducted with Violetta Khalilova, Care giver and a hard copy of report was provided.