complaint·April 10, 2023

LPA Nickolas’ facility file review revealed that on August 9, 2020, the facility notified R1’s physician of changes in R1’s condition. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation. Allegation # 3” Licensee did not answer communications promptly and appropriately to the resident's representative”. The allegation alleged that between March and August, the RP called the facility frequently to check on the resident, and the facility staff stated that R1 was doing well. The allegation alleged that an unknown nurse from the facility’s corporate offices visited, saw R1, and immediately sent R1 to the hospital. The allegation alleged that the RP spoke with facility staff that day and was advised that R1 was doing well. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation. Allegation #4 “Licensee did not follow facility policy concerning refunds”. The allegation alleged that the facility’s former administrator told the RP that they would refund R1’s money paid through the end of September. The allegation alleged that at the point this allegation was received by Community Care Licensing Division (CCLD), the facility owed the resident $4,000. LPA Nickolas’ interview with Executive Director III revealed that R1 was a resident at the facility from March 7, 2020-September 26, 2020. LPA Nickolas’ review of R1’s “Account History Report” revealed that the facility refunded R1 $1,843.87. This refund included care credit and basic service rate. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation. Allegation #5 “Resident was charged for services not received”. The allegation alleged that R1 was initially supposed to receive two (2) showers weekly. In April, R1’s showers increased from twice a week to daily, and the facility started charging an additional month each month for the shower increase. The allegation alleged that while moving R1 out of the facility, the RP discovered a sign on the wall instructing caregivers to shower the resident only two (2) times a week. LPA Nickolas’ interview with Executive Director III revealed that caregivers follow the facility's "personal service plan," not a sign on the wall. LPA Nickolas' review of R1's "Account History Report" revealed that R1 was refunded $994.00 in care credit. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation. Allegation # 6 “Staff did not meet resident's showering needs.” The allegation alleged that R1 was initially supposed to receive two (2) showers weekly. In April, R1’s showers increased from twice a week to daily, and the facility started charging an additional month each month for the shower increase. The allegation alleged that while moving R1 out of the facility, the RP discovered a sign on the wall instructing caregivers to shower the resident only two (2) times a week. LPA Nickolas’ interview with Executive Director III revealed that caregivers follow the facility's "personal service plan," not a sign on the wall. LPA Nickolas’ file review revealed that R1’s "personal service plan" was updated to daily showers on June 28, 2020, not April 2020. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation. A finding of Unsubstantiated means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and copy of this report was provided.