complaint·October 12, 2022

R1 was admitted on or about 3/1/22. At the time of the admission, the agreed upon fee was $6500, plus a one time fee of $650. During the month of March, R1 was hospitalized, had a change of condition and returned to the facility on Hospice. R1's monthly fees were increased to $7000 due to what the licensee determined were increase level of care. LPA reviewed licensee's admission agreement and found: The admission agreement used by the licensee is not the same as the approved admission agreement on file with the Department; The admission agreement in use at the home and used with R1 has a sliding scale for the first month of residents admitted on hospice; LPA and licensee reviewed a copy of another resident's admission agreement (R1's file is not present- LPA to receive a copy), the admission agreement also contains a one time admission fee of $650 without a written general statement describing all costs associated with the preadmission fee charges and stating that the preadmission fee is refundable, and describing conditions for the refund. Licensee will submit copies of R1's LIC 602, appraisal, hospice assessment and admission agreement. In the interview with the licensee and in review or the admission agreement in use, it was found that the licensee does not have a level of care fee schedule as part of the admission agreement. From a review of the evidence it is found that R1 was wrongly charged an additional $500 for April- June 2022, or $1500. Additionally, R1 passed away and belongings were removed by 6/24/22. That amounts to $233 x 6 day= $1398. Therefore, the total reimbursement owed R1 is $2,898. It should be known that it was evident during discussions with the licensee that they did not appear to be acting in bad faith. There errors in assessment of fees appears to have been on the advice of others than Community Care Licensing. The licensee does not contest the error and is very cooperative toward resolving the issue and re-establishing regulation compliance. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with licensee . Copy of this report and appeal rights provided.