complaint·May 3, 2023

they will not be returning to the facility. Pursuant to the facility's admission agreement pertaining to refunds "If the resident does not provide the above 5-day notice the licensee shall refund a proportional daily amount of any prepaid monthly fee(s) within seven days from the date that the resident leaves the facility and the unit is vacated." The administrator stated the family advised him that they will retrieve R1's belongings, but they never did. From 04/10/23 to 04/20/23, R1's belongings remained, not allowing the administrator to advertise the room as vacant. LPA conducted a physical plant inspection to observe R1's belongings still being there. Based on the information obtained, there was insufficient evidence to confirm that licensee did not provide a refund in a timely matter as R1's belongings still remain at the facility. Therefore, the allegation is deemed Unsubstantiated at this time. Staff did not seek timely medical care for resident: In regards to the allegation, it was reported that on 04/09/23, during a family visit, R1 was hot to touch. When family asked staff for assistance, staff did not respond. According to Staff 1 (S1), R1 was assessed, and their condition did not appear to be life-threatening at that time. S1 stated they called the administrator, who called R1's hospice agency. S1 did state, if R1's condition is life threatening, they would call 911 for emergency. According to the administrator, R1 was warm, but did not have a life threatening emergency. R1's hospice agency was called, and administrator was advised to provide R1 with Tylenol, and to continue to monitor any change in condition. Review of R1's hospice records indicate specific reasons why to call hospice, and administrator was following direction Administrator did state that he would call 911 if it appeared to be a life threatening situation and bypass calling hospice if it were an emergency. Although it was R1's family that called paramedics for non-emergency assistance, it still appeared that administrator did seek timely medical care by calling R1's hospice nurse and followed their instructions for a non-medical emergency in providing Tylenol and continued monitoring. Therefore, based on the information obtained, the allegation of staff not seeking timely medical care is deemed Unsubstantiated at this time. Facility forced resident to sign up for hospice: In regards to the allegation, it was reported that R1 was enrolled in Hospice, but family was not consulted on R1's hospice enrollment. Administrator stated he had nothing to do with R1's enrollment into hospice. According to the administrator, R1 was referred to hospice by their primary physician during R1's stay at the hospital. Although hospice service was initiated after R1 was admitted into facility, R1 was already enrolled into hospice at the hospital, prior to discharge. Review of R1's records indicate the hospice care plan and service agreement was signed by R1's family. Based on the information obtained through interviews and record review, it could not be proven that the licensee forced R1 to sign up for hospice. Therefore, the allegation is deemed Unsubstantiated at this time.