complaint·November 26, 2025

The Licensee further stated that the facility held the resident’s bed for approximately two months following his departure, more than what is required in accordance with program guidelines. It was alleged that Licensee signed resident up for hospice without consent from responsible party (RP). Concerned were raised that the RP was contacted by a hospice representative requested medical records to determine eligibility for hospice. LPA conducted interview with licensee and the information obtained revealed that no hospice agencies were contacted for R1. There is no documentation or evidence indicating that hospice services were initiated or that medications were administered without proper authorization. It was alleged facility staff failed to give resident their belongings after being discharged. They alleged that the facility retained the resident’s personal belongings, including a quilt, medications, clothing, slippers, a painting, and food. The Licensee confirmed that the belongings remain at the facility and have not been discarded or withheld. The Licensee stated that multiple attempts were made by the Ombudsman to contact the RP to arrange for pickup of the items, but no response was received. The facility has maintained possession of the items in a secure location and has expressed willingness to return them at any time. Based on observations, interviews, and records review, the allegations listed above are unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, this report was reviewed via telephone with Licensee Synthia Luna and a copy was provided to Caregiver Tina Smith.