Complaint·July 29, 2025

The investigation revealed that R1 is self-responsible and it is able to manage own cash resources. The investigations revealed that seven (7) out of eight (8) residents denied that allegation above and that residents do not know anyone who is being charged for services not received. During R1 interview, LPA introduced himself at start of interview, but towards the end of interview, LPA had to re-introduce himself after R1 asked who LPA was. R1 was unable to answer questions from LPA and directed LPA to speak with family. Five (5) out of eight (8) staff denied knowing or being involved in the decision and process to determine rate increases. One staff member stated to be aware of rate increase for R1 but does not get involved in the process to increase rates to residents. Two staff described the process to re-assess R1 health condition which resulted in a rate increase for additional services. After an incident with R1’s eloping from the facility on 8/29/2024, the facility reassessed R1’s health condition. On 9/1/2024, the facility identified the risk of eloping which resulted in additional service to prevent R1’s from eloping. R1 signed off rate increases form which identified the effective date of 9/1/2024. Facility added service to do frequent wellness check and monitoring bracelet to alert staff when a resident is attempting to exit the facility. Facility Staff contacted R1’s primary doctor who requested R1 to visit the doctor’s office. Director Liyon O’Quinn requested R1’s family to set up appointment with R1’s primary care doctor. The facility has been requesting the latest physician report since 9/9/2024. R1’s family assists with R1’s medical appointments and transportation. On July 24, 2025, R1’s family stated via email that facility will get the latest physician’s report as soon as the doctor provides it to the family. Based upon the investigation, client and staff interviews, document review, and LPA observations, the residents is receiving the services as identified by re-assessment to prevent resident from eloping. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview held with Director Liyon O'Quinn. A copy of the report was provided.