complaint·April 18, 2024

In regards to the allegation "Staff does not provide a care plan for residents during pre-admissions" it is alleged that resident care plans are not created or provided for admitted residents. (4) of (4) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. The files for seven (7) residents in care were reviewed and the needs and services plans for each file was observed. LPA's observed the pre admission appraisals on file. Interviews show that staff will create the care plans with the residents and keep it on file upon admission. Staff interviewed explained that residents and their responsible parties are allowed to participate in creating the care plan and receive a copy if they choose too. The care plans are kept on file for each resident. The documents initially provided to residents and their responsible parties is the admissions agreement and all its attachments. The care plans are not part of the admissions agreement as they are a separate document, but is available upon request. There is no regulation requiring the facility to provide a care plan during the pre-admission of a resident. Based on interviews, file review, and observations; although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. In regards to the allegation "Staff has overcharged residents in care" it was alleged that the facility overcharged residents in millions of dollars with their level of care charges. (4) of (4) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Residents interviewed were aware of the amount they pay the facility monthly. No residents interviews stated to be overcharged for services provided and are informed with a notice when rent increases. Interviews show that the facility is a private pay facility that calculates each persons total monthly fee by adding the cost of room and board plus level of care (service). The level of care charge is discussed prior to admission with the resident and/or their responsible party prior to any contract agreements being signed. There are no changes done or charges made without notifying the residents or their responsible parties. File review shows that residents are provided notices of price increases throughout the years. Review of most recent ledgers for the residents matches with the most recent notices on file for the total monthly fees which includes the service level they are provided. Based on interviews, file review, and observations; 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. Continued on LIC 9099-C In regards to the allegation "Staff has forged resident's signatures" it was alleged that resident signatures and initials were being forged by the staff. (4) of (4) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. LPAs showed residents their signatures from documents on file and they confirmed to believe it their own signatures. LPA was not provided with proof that signatures were being forged in facility documentation. Based on interviews, file review, and observations; 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 and a copy of this report was provided.