complaint·June 29, 2025

Allegation: Facility billed resident for services not being provided. The allegation alleges that resident is being charged for services that are not being provided to the resident. LPA received and reviewed R2’s Physician’s Report (dated 09/21/2021) that indicates R2 is able to manage own medications. LPA received and reviewed a letter from the facility to R2’s physician (dated 06/09/2022) that indicates R2 is not compliant with managing own medications. Additionally, the letter indicates a care conference was conducted on 06/08/2022 with R2’s spouse and son regarding R2’s increase in falls, hospital visits, and medications not being refilled or picked up on time. LPA received and reviewed R2’s Needs and Service Plan (dated 09/09/2022) that indicates R2 receives stand-by assistance with transfers due to frequent falls, medication assistance with medication administration two (2) times a date. LPA observed billing statements are consistent with level of care R2 was receiving. Additionally, LPA received and reviewed the care plan and billing for three (3) residents and observed three (3) out of three (3) residents Care Plan and Billing Statement are consistent with services received. During interviews with Staff S1-S9, were asked if residents are paying for services they are not provided, nine (9) out of nine (9) stated no, residents do not pay for services they do not receive. During interviews with Residents R3-R11, were asked if they have been charged for services they do not receive, one (1) out of ten (10) stated they have been charged for services they do not receive. Additionally, the resident stated they took it to management and the charge was removed right away. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . During today’s visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Business Office Director, Teresa Ramirez and a copy of this report was provided.