Complaint·June 2, 2026

Allegation: Facility staff are not assisting resident with obtaining health care The allegation alleges that a resident wants physical therapy, a new wheelchair, and a medical procedure done and she has not received it. During record review, LPA received and reviewed the Admission Agreement (dated 04/03/2025) that lists under Basic Service the following, On page 1, number 3 states “Notification to resident’s family, physician, and other appropriate person/agency of resident’s needs. And on page 2, number 6 states “Plan, arrange and/or provide for transportation to medical and dental appointments within a 7-mile radius of facility." Physician’s Report for Residential Care Facilities for the Elderly (dated 03/27/2025) that indicates R1 has a Motor Impairment/Paralysis that causes hemiplegia and hemiparesis. Additionally, LPA received and reviewed Progress Notes from Besht Wellness (dated 12/18/2025) that under Plan lists the following: Referral to home health physical and occupational therapy for ongoing rehabilitation needs. Order for durable medial equipment: replacement or repair of motorized wheelchair. Referral to obstetrics and gynecology for intrauterine device replacement as previously requested. LPA observed an order for home health for physical therapy/occupational therapy on 10/28/25 and 12/18/25. During the facility visit, LPA observed R1 utilizing an electric wheelchair. R1 stated that it was working fine During interviews with Staff S1-S7, were asked if there is staff who assist residents with arranging medical appointments or procedures, seven (7) out of seven (7) stated if a resident requires assistance making a doctor’s appointment, staff in the medication room or the front desk are able to assist. Additionally, Staff S1- S7 were asked if staff assist residents with acquiring assistive devices or outside services, seven (7) out of seven (7) stated if there is an order from the doctor, they will assist with acquiring it or if the resident or family request we can notify their physician to see about getting an order. During interviews with Residents R1-R12, were asked if staff assist them with arranging medical appointments or procedures, twelve (12) out of twelve (12) stated yes, staff are there to assist them with arranging appointments and transportation, if needed. Additionally, Residents R1-R12 were asked if staff assist them with receiving outside services and/or acquiring assistive devices, twelve (12) out of twelve (12) stated yes, staff are there to assist with receiving outside services and/or acquiring assistive devices, if need. During an interview with R1, they specified the issue has been with their physician and have since gotten a new doctor. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is/are unsubstantiated . LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Ace Huynh, and a copy of this report was provided.