complaint·July 31, 2025

Complaint alleges facility did not see timely medical care, based on interviews conducted and document review, indicate R1 was admitted to the facility on 02/12/2025. On 02/24/2025 the facility sent R1 to the hospital after noticing R1 declining. R1 was observed to be at baseline from 02/12/2025 to 02/23/2025. Complaint alleges reporting requirements, that the facility did not notify family. LPA was provided with conflicting information regarding the allegation. Interviews conducted with facility staff indicate after they called 911 for R1 to be sent out for medical attention, they contacted R1’s responsible party (RP) to notify that R1 was being transported to the hospital. R1s responsible party stated they contacted the facility when R1s physical therapist was present at the facility, noticed a change in condition and told the facility to call 911. Based on record review, interviews conducted, and observations made, the allegations listed above are UNSUBSTANTIATED. A finding that the complaint allegations are unsubstantiated means that although the allegations 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.