Complaint·August 6, 2025

Regarding the allegation: Facility staff refused to readmit resident. It is being alleged that the administrator of the care home is refusing to take the resident back from the hospital upon discharge. LPA interviewed three (3) staff that confirmed that due to resident #1 (R1)’s behavior, R1 is not being allowed to return back to the above facility. LPA reviewed the facilities admission agreement regarding R1, R1’s pre-placement and resident appraisal. There was no reassessment/updated resident appraisal and/or reappraisals conducted for R1 showing the process of eviction. There was no eviction notice given to the resident, resident’s family and Community Care Licensing Department about not accepting/readmitting R1 back to the facility from the hospital. The pre-placement stated R1 had behavioral problems and agitation at times. The resident appraisal and Appraisal/Needs and Services Plan showed that R1 would have psychosis behavior. Therefore, based on the LPA's record reviews and staff interviews conducted, the allegation is SUBSTANTIATED at this time. Regarding the allegation: Staff does not ensure resident is dispensed medications as prescribed. It is being alleged that the resident has not been receiving their psychotropic medication(s) at the facility. LPA interviewed three (3) staff that confirmed resident #1 (R1) was provided medication. LPA asked if R1 was being provided their psychotropic medication and staff failed to prove that R1 was being provided psychotropic medication. LPA received pictures of the medication packets from a witness that showed between 07/26/25 to 07/30/25 the medication were still inside of the packets. The medications that were not dispensed/given to the resident were-Divalproex (bipolar disorder) and Quetiapine Fumarate (psychosis). The staff sent R1 to the hospital on 07/30/25 for hitting staff and aggressive behavior. Furthermore, the medication Atorvastatin (to lower cholesterol and triglycerides) was not given to R1. LPA spoke to one (1) of the hospital staff that confirmed R1 was doing well after being provided their psychotropic medication. Therefore, based on the LPA's record reviews/ medication review and staff interviews conducted, the allegation is SUBSTANTIATED at this time. An exit interview was conducted, citation(s) were issued, appeal rights were provided, and a copy of this report was given to the resident care director.