complaint·May 28, 2025

**Report continued from 9099...... Allegation- Unlawful Eviction- UNSUBSTANTIATED LPA investigated allegation "unlawful eviction" and interviewed administrator. Administrator stated resident, R1 got admitted to facility on 01/06/23 and was transferred out to hospital on 04/12/24 due to change in condition. Administrator stated that R1 was very challenging with their care needs. Administrator stated they verbally informed R1s responsible party and placement agency that new placement was needed but a written 30-day notice was not given to R1. In April 2024, R1 was sent out to the emergency department. R1 needed to be discharged and administrator contacted R1 to discuss house rules via phone if R1 willing to return but R1 declined to follow any house rules and refused to return to facility. it was learnt that R1 was willingly moved to another facility after hospital discharge. Based on gathered information, this allegation was found to be UNSUBSTANTIATED. Allegation -Do to neglect, resident sustained a pressure injury. UNSUBSTANTIATED Department conducted record review and interviews with staff and witnesses to investigate this allegation. Record review reflected that resident, R1 got admitted to facility on 01/06/23 and was transferred out to hospital on 04/12/24 due to change in condition. It was also noted that R1 was on hospice care from 01/16/23 till 02/14/24 and on home health care from 02/16/24 till their hospital visit on 04/12/24. Record review reflected that R1 has wound care treatment during their facility stay and all parties were aware about those health issues. Administrator and 2 witnesses interviews reflected that R1 was not complaint with their wound care plan, but it was not due to staff’s neglect or supervision. Based on gathered information, this allegation was found to be UNSUBSTANTIATED. A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit meeting conducted. A copy of this report has been provided to facility.