complaint·June 20, 2025

R1 was referred to hospice due to a diagnosis of cachexia. LPA obtained R1s physicians report that states that R1 was receiving hospice care due to cachexia with a date of September 30, 2024. LPA observed hospice intake papers signed by R1s responsible party. LPA observed R1s LIC625 Needs and Services Plan was updated on September 30, 2024, stating that R1 would be receiving hospice comfort care due to R1s diagnosis as part of their new care plan. The Needs and Services Plan was signed by R1s responsible party. Interviews with 3 of 3 staff stating that they do not evaluate, intake or assist with hospice care plans. 3 of 3 staff informed LPA that they will give families information on different hospice programs and nothing more. Interviews with 9 of 9 residents in care stated that they go to the day care by choice and if they decide not to go the facility staff do not force them, it is entirely their decision. LPA interviewed staff and 3 of 3 staff stated that if a resident declines to go, the facility staff honors their choices and makes note of it so they know who was left at the facility. Interview with day care staff informed LPA that they have not heard any complaints from the residents. Based upon LPAs observations, interviews and information gathered during the investigation and review of all documents obtained, the preponderance of evidence standard has not been met, therefore the above allegations are deemed UNFOUNDED. Meaning that the allegations staff do not allow residents to make decisions regarding their care and staff obtained hospice services on behalf of residents who do not meet the criteria for hospice care was false, could not have happened and/or is without a reasonable basis. The department therefore dismissed the complaint. An exit interview was conducted with CC Sandra Arze and AD Lea Wine and a copy of this report was left at the facility.