Complaint·October 22, 2025

Continued LIC9099-C – Page 2 Hospice enrollment packet (dated 06/13/2025), and Advance Health Care Directive (dated 08/11/2025). On 09/16/2025 and 10/22/2025, LPA Bunker toured the facility's buildings and grounds to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. No signs of neglect or abuse were observed during today's visit. On 10/22/2025, between 1:00 p.m. and 4:30 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#4 (S1–S4) regarding the complaint allegation. On 10/22/2025, from 12:30 p.m. to 1:00 p.m., LPA Bunker attempted to interview residents #1–#3 (R1–R3). R1-R2 are non-verbal and unable to participate in the interview process, and R3 failed to answer any of the questions posed, follow the conversation, or demonstrate understanding of the inquiries. Investigation revealed the following. Allegation : Staff accepted a resident with a prohibited health condition. On 10/22/2025, between 1:00 p.m. and 4:30 p.m., the Department conducted interviews with staff members #1-#4 (S1-S4). Who stated that the facility did not accept a resident with a prohibited health condition. 4 out of 4 staff confirmed that Resident #1 (R1) was admitted to the facility with a stage lV wound and is currently on hospice care, receiving ongoing treatment for the condition. 4 out of 4 staff stated that the hospice team provides regular services to R1. A home health nurse visits once a week, a bath nurse visits twice a week, and the wound care physician visits once a week. 4 out of 4 staff reported that R1 no longer has a gastrostomy tube. The Stage IV wound is actively being treated by R1’s wound care physician using stem cell therapy. 4 out of 4 staff members confirmed that the facility holds an approved hospice waiver, authorizing the provision of hospice services within the facility. 4 out of 4 staff members denied the allegation. On 10/22/2025, from 12:30 p.m. to 1:00 p.m.., the Department attempt to interviewed three residents #1-#2 (R1-R2). 2 out of 2 residents was non-verbal, and 1 out of 3 had difficulties understanding and answering the questions. See continued LIC9099-C – Page 2 Continued LIC9099-C Page 3. The Department reviewed Resident #1’s (R1) Physician’s Report and Hospice Records dated June 13, 2025, through the present. R1 was admitted to the facility on June 13, 2025, in accordance with the signed Admission Agreement. The Physician’s Report, completed on the date of admission, documented that R1 presented with a Stage IV wound upon entry. Hospice records, also dated June 13, 2025, confirm that R1 was under the care of Appling Hospice at the time of admission and has been receiving wound treatments and in-home health services since that time. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the 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 deemed unsubstantiated. There were no deficiencies cited. A copy of the Complaint Investigation Report LIC9099 and LIC9099-Cs was provided to Angela Love, Licensee. An exit interview was conducted