Complaint·April 15, 2026

Regarding the allegation: Staff refused to accept the resident back to the facility. It was alleged that S1 refused to accept R1 back to the facility after being discharged from the hospital. To investigate the allegation, LPA attempted to interview one (1) resident and one (1) staff member. LPA attempted to interview R1, but they no longer reside at the facility and were not present during LPA’s visit. LPA’s interview with S1 revealed on 4/04/2026, R1 was transported to the hospital due to severe pain. S1 stated they refused to allow R1 to return to the facility due to them, “needing a higher level of care”. When questioned as to what higher level of care R1 needed, S1 stated that R1’s chronic pain is too severe, and they do not have nurses such as “LVNs” (Licensed Vocational Nurses) employed at their facility. S1 stated, R1 needs a rehabilitation center. When questioned if they had provided R1 with a 3-day or 30-day eviction notice, S1 stated, “No”. When questioned if they had submitted R1’s eviction notice to Community Care Licensing Division (CCLD), S1 stated, “No”. LPA conducted a record review of R1’s file. LPA’s record review of R1’s Admission Agreement revealed that, “…a written notice that includes specific facts concerning the date, place, witnessed, and circumstances for eviction will be provided to the resident”. Further record review of R1’s Pre- Appraisal documented R1 to have episodes of anxiety, but no documentation of the severity of their chronic pain and/or alcohol abuse were notated. LPA’s record review of R1’s Interdisciplinary Discharge Summary paperwork on 6/14/2025, prior to moving into the facility on 6/19/2025 disclosed various diagnosis relating to R1 such as, “…Alcohol abuse with withdrawal with perceptual disturbance…”. Additionally, LPA did not observe there to be any documentation of Re-Appraisals having been done regarding R1’s change in conditions leading to R1’s hospitalization on 4/04/2026. During LPA’s physical plant tour, LPA observed R1’s bedroom to be empty. Based on interviews, record review and observations, there is enough information to verify the allegation. Therefore, the allegation is SUBSTANTIATED at this time. Citations issued, please refer to LIC 9099-D. No other immediate health and safety issues observed during the day of the visit. Exit interview was conducted, appeal rights given, and a copy of this report was provided to the Administrator.