Complaint·November 18, 2025

Continued from LIC9099... S1 stated that R1 began refusing to get out of bed and transferring to the chair around mid-July 2025 and R1's legs have grown stiff in this time. Additionally, S1 stated that since August of this year R1 has started requiring 1:1 assistance with feeding at all meals due to R1's inability to direct utensils to their mouth on their own. S1 was unable to provide proof of any communication with R1's responsible party regarding their change in condition prior to R1 being sent to the hospital on 10/2/2025. Additionally, S1 was unable to provide proof of any communication with or evaluation by a medical professional during the time frame between when the change of condition was first observed by facility staff and when R1 was taken to the ER on 10/02/2025. Subsequently, S1 took R1 to their PCP for an evaluation as evidenced by an after visit summary dated 10/09/2025. S1 stated that there was a discussion about Hospice for R1 but to date there is no documentation that R1 is on Hospice. Based on observations made, interviews conducted and records obtained, the allegation of neglect-faciltiy staff are not meeting resident care needs for R1 is SUBSTANTIATED. A finding that a complaint allegation is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency is cited from Title 22 Regulations, Division 6, (see LIC9099D). Exit interview conducted with DRP, whose signature on form confirms receipt of documents. Copy of report and appeal rights provided.