Complaint·May 20, 2026

The investigation revealed the following: Allegation: Staff do not allow resident to return to facility. It is being alleged that the facility is refusing to accept back a resident who has been medically cleared to be discharged back to the facility for care. On 05/20/26 from 10:30 am- 11: 30 am LPA conducted Interviews with R2-R7 regarding the allegation above. 2 of the 6 residents interviewed denied the allegation above and reported having no issues returning to the facility after hospitalization. 4 of the 6 residents interviewed reported having no knowledge of the allegation above as they have not been hospitalized since their admission to the facility. On 05/20/26 LPA Villegas was unable to interview R1 due to diagnosis. Additionally, 6 of the 6 residents interviewed reported they are happy with the care being provided at the facility. On 05/20/26 from 12pm- 1pm LPA conducted interviews with S1-S6 regarding the allegation above. 4 of the 6 staff interviewed denied the allegation above. 1 of the 6 staff interviewed reported having no knowledge of the allegation above. 1 of the 6 staff interviewed confirmed the allegation above and reported that if the resident is reassessed and the residents care needs cannot be met at the facility, the facility will not accept a resident back. Additionally, 4 of 6 staff report that the facility can no longer meet the care needs of a resident, the facility will accept a resident back until proper placement is found. 2 of the 6 staff interviewed indicated that a former facility staff reported conducting a reassessment for R1 but there is no documentation available to prove that the assessment was done. On 05/20/26 LPA conducted a review of documents obtained for R1, LPA did not observe a reassessment nor an eviction notice on file. Per facility notes dated: 05/04/26, 05/08/26, and 05/11/26 per Hospital social worker R1 was not ready for discharge. Per facility note dated: 05/12/26, facility asked hospital social worker for SNF referral to assure medication compliance as R1 was placed on new meds due to physical behaviors, and to ensure safety for all Terraza Court residents. Per note Social worker agreed to SNF referral. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, and a copy of this report was provided.