complaint·July 17, 2025

Facility staff failed to assist in arranging medical care Interviews conducted indicated that facility staff and Licensee provided assistance with arranging medical care for Resident R1. Facility staff continuously check on R1 and when R1 is in distress or having pains, staff will call emergency services for R1 to be evaluated. On June 22, 2025, emergency services were called by R1 on their own (R1 has their own personal cell phone). R1 did not inform any staff that they were in pain or needed emergency services called. When the fire department (FD) arrived, facility staff were confused and told FD that they might have the wrong address as the staff did not know R1 had called for services. Facility staff and emergency services were able to figure out that R1 had called and emergency services took R1 to hospital for evaluation. R1 told hospital staff that they did not want to be alone which is why they called emergency services (R1 has a history of calling emergency services in the evenings/night time due to being lonely). Records reviewed indicated that facility staff called emergency services for R1 when needed or asked. Discharge notes from hospital dated June 10, 2025, June 22, 2025, and June 30, 2025 all indicate that R1 returned with no new orders regarding physical health or issues. LPA reviewed incident reports from facility dated 6/15/2025, 06/23/2025, 07/01/2025 which indicated that facility assisted R1 with arranging medical care. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.