complaint·July 10, 2025

Licensee overcharged resident for services. Records reviewed indicated that resident R1 was not charged a pre admission fee of $3000.00 when moving in to the facility. R1 previously resided at a facility that was owned by the licensee. Upon moving into the previous facility, the resident was charged $3000.00 pre-admission fee. When R1 moved into Sierra Ridge, the licensee honored the pre-admission fee R1 paid at the previous facility and did not charge an additional fee upon move in at Sierra Ridge. Based on the information gathered during the complaint investigation, the facility did not overcharge R1 therefore the allegation is UNFOUNDED. Staff did not provide resident’s DNR directives to medical personnel Records reviewed indicated that Resident R1 received discharge paperwork from the hospital during a visit on 05/08/2025. At that time, R1 had a “do not resuscitate (DNR)” order on file with the hospital. Facility records indicate that R1 had a Physician’s Order for Living Sustaining Treatment (POLST) form on file that indicated R1 had a DNR order. Interviews conducted indicated that facility sends documents with a resident when they are sent to the hospital, which includes a resident's emergency contact information, birthdate and physician name, current medication list, and POLST/DNR form. Based on interviews conducted and document’s reviewed, the hospital was provided and aware of R1’s POLST and DNR wishes. 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 Resident Care Coordinator. Copy of report was given to facility.