complaint·April 24, 2025

Allegation: Facility did not accept resident back to the facility after a hospitalization. The complaint alleges that facility staff refused to accept resident (R1) back despite hospital psychiatrists deeming the resident stable. According to information obtained, the resident was transported to the hospital on March 12, 2025 on a psychiatric hold due to aggressive behavior towards roommate, staff, and danger to self and others. The resident resided in the Assisted Living (AL) floor and not the Memory Care unit. Based on staff interviews, resident (R1) has Dementia. Staff stated that R1's authorized representative did not disclosed history of psychiatric issues prior to moving in, nor did the resident's Physician's Report include mental health history. Staff stated that within 3 hours of 5150 (psychiatric) hospitalization, hospital staff notified facility staff that the resident would be discharge back because the resident did not meet psychiatric criteria at that time. Facility staff informed hospital staff that in order for the facility to accept the resident back, an updated Physician's Report would need to be completed by hospital staff, and then facility staff would need to complete an assessment in order to determine suitability and compatibility after the change in condition. Staff explained to hospital staff that the facility does not provide 1 to 1 care and the health and safety of R1's roommate would be at risk if the resident is accepted back without a through physician evaluation. Staff interviews revealed that facility staff reached out to local higher level of care facilities attempting to find an appropriate placement for R1 until they were medically stable. Initially, the hospital discharged R1 to a regular Skilled Nursing Facility (SNF), but within 48 hours the resident had to be transferred to a geriatric psychological unit where the resident has resided since March 31, 2025. On April 1, 2025, staff obtained information indicating that there had not been any improvement in the resident. On April 7, 2025, authorized representative provided a 30-day move-out notice because the resident will likely remain at the geriatric psychological unit long-term. Family removed all of R1's belongings from the facility today. There is insufficient evidence to corroborate the allegation. 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 are Unsubstantiated . An exit interview was conducted and a copy of this report was discussed and provided to Business Office Manager.