Complaint·September 16, 2025

During investigation LPA observed, facility had a box secured inside garage with Resident 1’s personal belongings. LPA Tirre observed the box to have 10 clothing shirts/ Jacket, a bag of slippers and a bag of socks & underwear. After conducting interview with staff, LPA inquired if there were any additional belongings of R1 to which LPA observed facility to have R1’s mail, ATM card and checkbook. Per Investigation interviews three of three staff confirmed R1 left facility via ambulance on June 30, 2025. Per interviews with staff, two of three staff members stated that R1 left facility due to being a fall risk due to a recent change in condition. Per staff interviews R1 required a higher level of care and was transported to a hospital and then transported to a Skilled Nursing Facility. Per staff interviews, two of three staff stated that A Coordinator from Skilled Nursing Facility was to pick up R1’s belongings but as of today’s date September 16, 2025 had not picked up items. Based on records reviewed, observations and interviews conducted the preponderance of evidence has been met. The following deficiencies are being cited per Title 22. An exit interview was conducted with Administrator Lady Jean Vera Cruz and a copy of this report, along with confidential names list and appeal rights was reviewed and provided.