Complaint·August 26, 2025

post CVA, episodes of confusion/ forgetfulness. Identified care needs include- personal care, incontinence, medication, observation/ supervision and elopement risk. Appraisal Needs and Services Plan, dated 3/27/25, noted R1 previously resided in memory care at another facility. Review of R1’s records failed to find information as defined in updated regulations, effective 1/1/25, for intervention strategies/ techniques for behavioral expressions- in this case confusion, agitation and elopements. Following the 4/7/25 incident, R1 was found to have a UTI, they were medically stabilized. R1’s representative was notified by facility Administrator on 4/8/25 that due to R1’s aggressive episode and injury of staff, R1 may not return to the facility. R1 was relocated to another licensed care home. As R1 was not reassessed and offered the possibility of returning to this facility, R1 was involuntarily discharged without an eviction notice. R1’s representative requested reimbursement for fees paid for the remainder of April 2025 following the involuntary discharge. The representative was initially told that calculations for the reimbursement will be based on staff injury care and property damage costs. Admission agreement regulation does not allow for such deductions for reimbursement. Reimbursements are also required to be paid within 15 days of the resident belongings removed from the home. 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 designee . Copy of this report and appeal rights provided.