Complaint·May 21, 2021

Continued from 9099 - Page 2 Based on LPA interviews with staff, administrator, record review of resident (R1's) medical documents, incident reports and staff training. LPA observed there is no reasonable basis for this complaint or evidence of facility retaining resident that requires a higher level of care . All of the staff training for facility was observed by LPA, Hospice care was approved for resident, incident reports showed visits to emergency room and how staff changed level of care for resident after returning. Physician's report showed the decline in R1's condition. The allegation of Facility is retaining resident that requires a higher level of care is deemed UNFOUNDED. This agency has investigated the allegation noted above and have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or was without a reasonable basis. We have therefore, dismissed the complaint. An exit interview was conducted with Administrator via telephone and a copy of this report LIC 9099, LIC 9099-C, LIC 858- Client Records, LIC 811- Confidential Names, and Appeal Rights was provided to the Administrator via email and an electronic email read receipt confirms receiving these documents. Administrator will send 9099 and 9099-C back via email signed to LPA Wallace.