complaint·October 28, 2025

ED explained that the rate change was not a result of a reappraisal. ED explained that the company basically made a new structure to the base level of care: Base level care fee of $250 is charged for level 0-10; whereas before the level of care fee started at level 1-10. According to ED the residents were properly informed of the new level of care rate change. LPA requested resident and facility records pertinent to the allegations. Additional records were requested throughout the course of the investigation. Records reviewed included but not limited to letters dated 5/30/24 notifying residents in advance of the care level fee charge of $250 for the base level range 0-10 (points). Prior base level fee started at level 1-10. A memo dated 5/31/24 was issued to the residents with additional explanation of the new Base Level Care rate change; care level fee structure change, including Base level 0-10 fee ($250). In addition, a Town Hall meeting was held on 6/25/24 which included discussion regarding the “Base Level Care” rate change. According to the ED after the town hall meeting, the Company decided to apply the new base level care rate for new admissions and to credit residents who have been with the facility prior to 9/1/2024. A letter dated 8/22/24 was issued to residents noting that the base Level care rate change/increase is being rolled back for all residents residing at the facility prior to 9/1/ 2024. ED provided copy of sample statement invoices showing the proper reversal of the rate increase for $250 credited back for residents admitted prior to 9/1/2024. Random resident interviews were conducted telephonically on 05/18/2025 from approximately 2pm-4:30 and 5:30pm-7:30pm; on 6/10/2025 from approximately 9am-11am and 2pm-5pm; on 9/24/2025 from approximately 2pm-4:30pm. Resident interviews confirmed that the level of care fee was the issue and that has resolved since. Residents confirmed that a credit of $250 was applied for the months charged. Random invoice statements were reviewed and noted the credit of $250 for those residents admitted prior to 9/1/2024. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff did not reappraise residents accurately and Staff did not provide residents a comprehensive billing statement” is deemed unsubstantiated at this time