complaint·October 27, 2023

Routine Wellness Result for 6/30/2023 indicated R1 was fully independent of peri care. The Routine Wellness Results from 7/31/2023 to 9/29/23 notated resident’s assessment for peri care indicated R1 had changes to bladder incontinence and is no longer independently managed. Interviews also revealed that R1 can go to bathroom on their own however staff help assist resident with incontinence care by cleaning and changing resident after resident has had bowel movements. Interviews revealed that R1 needs assistance with wiping after using restroom. On 8/29/2023 facility sent out notification letter, notifying responsible party of R1’s change in peri care requiring incontinence care and beginning 9/1/2023 facility was implementing a charge for monthly incontinence care. Resident Billing Invoice statements indicated no incontinence charges were applied to bills for the months of June to September of 2023. Resident’s Billing Invoice dated 10/1/2023 shows an incontinence care charge was billed for the period of 9/1/23 to 9/30/23 as well as statement for care provided 10/1/23 to 10/31/23. Interviews revealed that residents account is enrolled to autopay. Invoice statements confirm resident’s account is currently paid up to date with no balances pending. Interviews revealed that at the request of responsible party, facility is in process of reimbursing resident’s account due to improper notification in person. Based on interviews conducted and documents revealed, allegation facility charging for un-needed services is deemed Unsubstantiated. Although the allegations may have happened or may be valid; there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator and a copy of this report was provided at the time of exit.