Complaint·October 2, 2025

The assessment tool helps determine whether a resident’s needs can be met by the facility or if a higher level of care, such as a Skilled Nursing Facility (SNF), is required. Interviews also revealed that S1 evaluates residents' ability to perform activities of daily living (ADLs) and provides recommendations to the Administrator, who then sends the final decision to the corporate team for review and approval. Other staff involved in assessments include the Residential Care Director and the Sales Director. A review of R1's records shows that assessments were conducted and documented. R1’s initial care assessment, completed on 8/16/22, showed that R1 required staff assistance with grooming, mobility (wheelchair use), showering, queueing with toileting, and medication management due to medical condition (M1). R1 was noted as alert and oriented, able to communicate needs, and independent in many areas of care. The medical assessment from 8/14/22 confirmed that R1 had no mental health conditions and required only minimal assistance with self-care. A later medical assessment, dated 1/16/25, continued to show that R1 did not have a cognitive impairment, remained alert, and required minimal assistance with daily activities. Though R1 was non-ambulatory, they were able to transfer independently and feed themselves. R1 also remained able to manage personal finances and medications. Progress notes showed that the facility coordinated with outside professionals, including hospital social workers, APS, and the Ombudsman, when R1’s condition changed. In January 2025, the hospital Social Worker informed the facility that R1 would be moved to a Skilled Nursing Facility. The facility, in turn, determined that R1’s condition had changed and that they could no longer meet R1's care needs, thus denying readmission. The facility also took steps by contacting APS and the Ombudsman in assisting R1 find proper placement. Based on the interviews and reviewed documentation, the preponderance of evidence is not met, therefore, the allegation is UNSUBSTANTIATED. An unsubstantiated finding means that although the allegation may have happened the preponderance of evidence does not prove it. No deficiencies were cited as a result of this visit. An exit interview was conducted and a copy of this report and appeal rights were provided. {9099-2}