complaint·December 4, 2025

Review of R1’s physician report confirmed care by a private doctor, but the documentation was outdated. Interviews with five (5) of six (6) residents revealed they had a choice in choosing their own provider and were not forced to choose the facility doctor. R1 revealed that they didn’t have the right to choose their own healthcare provider but when LPA Smith asked when they started receiving medical care from the facility doctor R1 revealed they have their own doctor and didn’t choose to sign up to use the facility doctor. Based on the information obtained, there is not enough information to verify the allegation, therefore the allegation is UNSUBSTANTIATED at this time. Staff did not ensure residents were admitted with complete medical records upon entry to the facility In regard to the allegation, it was alleged that staff did not ensure residents were admitted with complete medical records upon entry to the facility specifically without their medication. Interview with administrator revealed that complete medical records are not a requirement for entry into the facility as in California residential care facilities for the elderly (RCFE) are non-medical facilities, so the admission does not require a complete medical record. Administrator also revealed that each resident does need a physician’s report completed and signed by a licensed physician with in 12 months prior to admission, preappraisal, current TB test or risk assessment, and appraisal/needs and services plan. Administrator states that medication is either brought with the resident or they may have to coordinate with residents’ private pharmacy or new admission will elect to use facility medication program. LPA reviewed Resident #4 (R4) records to include admissions agreement, physician’s report, controlled medication record. R4 elected to use facility medication program and medications dispensed to R4 has been logged since 7/13/2025. Based on the information obtained, there is not enough information to verify the allegation, therefore the allegation is UNSUBSTANTIATED at this time. Exit interview conducted copy of report given