complaint·March 18, 2025

CONTINUED FROM FORM LIC9099 Per the records reviewed along with the death report submitted by the facility on May 10, 2024, R1 passed away under hospice continuous care on April 28, 2024. On or around February 26, 2025, a law firm representing the late resident reached out to facility staff to request records from R1's period of admission at the facility. Per facility staff, records were not submitted in response yet after a follow-up email was sent during the week of March 9 to March 15, 2025. Facility staff indicated that a facility audit on the records requested was under way and had delayed the submission of records. Per the documentation reviewed, the law firm made the request and submitted all supporting evidence to demonstrate the request was legitimate, as well as issued a payment for clerical and reproduction costs by check dated February 25, 2025. Per Title 22 regulations, " Photocopied records shall be provided within two (2) business days and at a cost that does not exceed the community standard for photocopies. ". Based on the evidence gathered, facility staff failed to meet that requirement. The allegation that " Staff are not providing timely access to a resident's personal records " is therefore substantiated, meaning that the preponderance of evidence standard has been met. A type B deficiency is cited on an attached form LIC9099-D. An exit interview was conducted and a copy of this report along with appeal rights was provided to a facility representative.