complaint·October 6, 2025

Regarding the allegation: Facility staff does not allow resident to choose their own healthcare provider. It was alleged that staff did not allow a home health agency to provide services to Resident 1 (R1). To investigate the allegation, LPA conducted interviews with two (2) staff members and attempted interviews with seventeen (17) residents. Interviews with both staff members stated that they did not refuse services for R1 and only requested R1’s Plan of Care to better assist R1’s needs and services. S2 stated when they requested R1’s Plan of Care, the agency denied the request due to, “HIPPA Laws”. LPA’s interview with S1 revealed the same information was given to them from the home health agency. LPA’s interview with the Reporting Party (RP) confirmed the HIPPA information was relayed to the facility staff. LPA’s interview with R1 revealed that they are enrolled in Home Health and they can choose their own provider. When questioned if home health is providing services, R1 stated, “Yea”. LPA conducted additional interviews with nine (9) residents. All nine (9) residents stated they can choose their own care provider. LPA attempted to interview R11-R17 but due to either: their various medical diagnosis, refusal to be interviewed and/or not available, they could not be interviewed, therefore LPA terminated the interviews. During LPA’s record review, LPA reviewed the facility’s visitation log from September 2025 to Present. LPA’s record review revealed that R1’s home health agency conducted a visit on 9/24/2025. Further record review confirmed that R1’s Services Consent Forms for Admission to the home health agency were dated for the same date as the home health visit of 9/24/2025. Additional record review revealed that R1’s home health agency has conducted additional visits to the facility since. LPA's record review of the facility's Unusual Incident/Injury Report (SIR) revealed the facility self-reported the incident to Community Care Licensing Division (CCLD) dated 9/30/2025. Review of the SIR revealed the incident between the facility and home health agency were disclosed regarding R1's Plan of Care, but no denial of services for R1 were documented. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No immediate health and safety issues observed during the day of the visit. Exit interview conducted and a copy of this report was provided to the Administrator.