complaint·June 12, 2024

This page intentionally left blank Investigation consisted of the following: On 06/12/2024 LPA España requested a copy of the staff roster, resident roster, reviewed 7 out of 7 residents file, admission agreements, Medication Administration Records, discharge paperwork, and requested copies of eviction documents. LPA España interviewed staff 1-staff 5 (S1-S5) and Resident 1-Resident 7 (R1-R7). The investigation consisted of the following continued: Allegation: Facility illegally evicted a resident in care. On 06/12/2024 LPA Espana interviewed Staff 1-Staff 5 (S1-S5). S1-S5 confirmed that the facility adheres strictly to state regulations regarding resident discharges, providing written notice at least 60 days in advance, with no exceptions. S1-S5 also reported no attempts to transfer or relocate residents in the past 90 days. S1-S5 stated no resident was illegally evicted. On 06/12/2024 LPA Espana interviewed Administrator Khatera Bahadory who stated that 1 resident required a higher level of care and left the facility on May 29, 2024. The resident's doctor and family were informed, and the family managed the resident's transition to a skilled nursing facility. The administrator presented documentation showing a signed acknowledgment from the family for discharge on the specified date. On 06/12/2024 LPA España attempted (by telephone) to interview R8, but they were unavailable. On 06/12/2024 LPA Espana interviewed Resident 1-Resident 7 (R1-R7) who were unaware of any recent transfer attempts or issues with illegal evictions. They were also unfamiliar with the facility's eviction process. On 06/12/2024 LPA España attempted (by telephone) to interview R8, but they were unavailable. Based on LPA’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated . Allegation: Facility did not issue a refund to a resident in care. On 06/12/2024 LPA España interviewed the Administrator Khatera Bahadory who reported no discharges due to nonpayment in the last 90 days. The facility provides residents time to seek financial assistance before any discharge. The Administrator Khatera Bahadory also explained that the facility's eviction policy requires a 60-day notice, and there has not been refund issues with any resident, all procedures are followed accordingly. On 06/12/2024 LPA España interviewed S1-S5 confirmed that detailed documentation is maintained for any discharge process, including reasons and notices provided. On 06/12/2024 LPA España interviewed R1-R7 who were unaware of any refund issues or illegal evictions. R1-R7 confirmed that the fa cility's discharge procedures are consistently followed and had no knowledge of involuntary discharges. On 06/12/2024 LPA España attempted (by telephone) to interview R8, but they were unavailable. Based on LPA España’s observation, interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated . An exit interview was conducted with Jared Mikos, Director of Operations and a hard copy was provided.