complaint·March 29, 2025

On 03/29/2025 LPA Duguma reviewed all forwarded documents from around 10:00a.m. to 11:00a.m. A review of all forwarded documents revealed that R1’s Admission’s Agreement was not amongst the dossier, however, one letter shows that in a final attempt to collect a debt, the facility offered R1 a fifty percent (50%) discount. During interviews with staff, all staff stated they do not entice their residents into making any financial decisions and that all residents have a choice. Staff #1 (S1) added, R1 moved out and did not provide proper notification. Staff #2 (S2) stated facility is under new ownership and unable to provide requested documents. During interviews with residents, all residents stated they do not feel facility tries to intimidate them or extract funds from them by not following the admissions agreement. LPA Duguma made several attempts to reach the other parties by phone but to no avail. Based on interviews and a review of available records, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Facility staff did not accurately assess resident's needs. It was alleged that a staff member’s review of facility’s residents and resources indicated facility was not able to properly care for residents like R1. To investigate the allegations, on 03/04/2024 LPA Tihesha Smith conducted a physical plant tour, requested documents and interviewed one (01) staff from around 01:45p.m. to 02:50p.m. On 03/09/2025 LPA Duguma conducted a physical plant tour at around 10:00a.m., reviewed documents at around 11:30a.m. to 12:15p.m., interviewed three (03) staff from 12:15p.m. to 1:30p.m. On 03/29/2025 LPA Duguma reviewed all forwarded documents from around 10:00a.m. to 11:00a.m. A review of all available documents do not indicate that R1 had a prohibited health condition, a restricted health condition or any other condition that may have hinder the facility’s ability to provide the necessary care and supervision. During interviews with staff, all staff stated they do not admit residents they cannot properly care for. During interviews with residents, all residents stated they feel facility has the resources to be able to properly care for them. Based on interviews and a review of available records, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards were noted during the visit. Exit interview was conducted and a copy of the report was issued.