complaint·October 7, 2025

Allegation: Staff did not ensure that resident received medical treatment in a timely manner. It has been alleged that R-1 has not received physical therapy since sustaining an injury a few months ago. Staff interviews revealed that R-1 sustained an injury on 07/01/25 which resulted in R-1 requiring physical therapy services. Interviewed staff indicated that R-1 was sent to the hospital on 07/01/25 for treatment and was discharged on 07/05/25 to the on-site Skilled Nursing Facility (SNF) for rehabilitation. Per interviews (including interview with R-1’s Physical Therapist), R-1 received therapy during their stay at the SNF. Per interviews, R-1 was discharged back to this facility on 07/31/25 under hospice care. Per interviews, due to hospice care being in place, there was a delay with obtaining billing authorization for R-1 to receive physical therapy services. Per interviews, R-1’s POA was aware of the pending authorization for therapy services (meeting was held with R-1’s POA on 08/07/25). Per R-1’s Physical Therapist interview, R-1 began receiving therapy on 08/27/25 at this facility (once the authorization request was approved). Per interviews, the delay for physical therapy services for R-1 was due to the pending authorization approval and not due to staff not ensuring R-1 received medical treatment in a timely manner. Resident interviews revealed that they receive medical treatment in a timely manner and that they do not have any concerns. Interviews and documentation reviewed do not corroborate this allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted, a copy of the report and appeal rights were provided to Minerva Naranjo