complaint·August 16, 2021

Investigation revealed the following: Regarding allegation, Facility did not provide resident's file to resident's responsible party , it is alleged that facility staff did not provide R1's responsible party (RP) with a copy of R1's Needs and Services Plan and it is also alleged that facility staff have not responded to R1's RP request for copies of R1's file. Interview with both Administrator Irene Deanon and Assistant Administrator Evangeline Ursua revealed that they have not received a request from R1's RP for copies of any documents or a request for a copy of R1's resident file. Interview with R1's RP revealed that they had not made a formal written request for any copies of any documents pertaining to R1 or their facility file. R1's RP stated that they would follow proper protocol and make a formal written request to facility licensee/ administrator. Based on interviews conducted with Administrator Deanon, Assistant Administrator Ursua, R1's RP and LPA review of R1's file, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview held. A copy of the report was provided to Administrator Irene Deanon.