complaint·January 4, 2023

on the results of the level of care assessment, a point value is assessed. The point value then translates to a particular level of care which results in the monthly care fees the facility assesses each resident. The facility has levels of care ranging from Level 1 to Level 8. LPA Velazquez also reviewed Resident (R) #1's hospice records. R1's responsible party was provided two statements with an invoice due date of 01/01/2023. One invoice indicated the amount due as $7803.25 and another invoice with a total amount due of $6003.25. ED Washington stated the facility notified R1's responsible party that the facility was waiving the additional charges for the increase of level of care services as R1's responsible party indicated they had not been properly notified of the increase in fees due to the increase in the level of care R1 required. Facility records indicated R1 had a level of care assessment on February 19, 2022 and again on October 21, 2022 with facility records indicating R1's responsible party was notified of the level of care when each assessment was conducted. LPA Velazquez also reviewed email communication between the complainant and the facility with one email dated October 21, 2022 from Resident Care Director Judi Williams notifying R1 that R1's level of care had increased to a Level 5. The interviews conducted revealed conflicting statements and the allegation could not be corroborated. 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 following allegation: Facility did not properly notify resident of a rate increase is deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Melanie Washington and a copy of this report along with the LIC 811 was provided at the time of this visit.