complaint·May 6, 2025

R1’s immediate cause of death is noted as “end stage kidney disease” and “type 2 diabetes.” The duration of the end stage kidney disease was noted as six months. The duration of the type 2 diabetes was noted as years. R1’s Primary Care Physician (PCP) was not able to say for certain if R1’s missed appointments caused R1’s death or contributed to R1’s death. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are 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 violation(s)occurred. In interviews with Administrator Caleb Summerhays and Resident Care Coordinator Leslie, staff acknowledged that R1’s responsible party had not been informed of the resident’s refusal to attend dialysis or of the missed appointments. It was also learned that the facility did not notify the family about the resident’s change in condition. A review of the records revealed that there was no documentation of any communication with R1’s family regarding the resident’s change in condition, refusal of dialysis, and the missed appointments. As a result, this allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted with Tasha and Melissa and a copy of this LIC 9099, LIC 9099-D page and appeal rights provided to facility.