complaint·October 21, 2025

Physician order dated 10/20/2023 shows an order for a hospital bed. Staff state the bed and wheelchair were ordered through Dr Pham and Legacy Home Health and authorization was not made by the staff. LPA reviewed a discharge letter dated 07/18/2024 from Dr Pham terminating services due to inappropriate behavior from R1's family member. After the discharge, R1 went under a different physician for care. R1's family member was non-responsive to LPA. Two out of two staff confirm speaking with R1's family member constantly regarding care. LPA reviewed text messages between facility and R1's family regarding obtaining emergency services for the resident in December 2024. Based on interviews conducted and record review, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview conducted and a copy of this report was provided.