complaint·March 26, 2024

A finding that the complaint is SUBSTANTIATED means that the allegations are valid as the preponderance of the evidence standard has been met. Refer to LIC809-D for deficiency cited. An exit interview was conducted where this report, LIC809-D, and appeal rights were discussed with and provided to Administrator Loekner. from cardiovascular complications following the surgery. This allegation is therefore unsubstantiated. Allegation 2: Lack of supervision resulting in resident falling. The Department received two incident reports involving R1 on 1/28/22. LPA Fannell reviewed LIC 602 Physician’s report signed on 08/18/21 stating that R1 uses glasses, had no motor impairment or paralysis, and does not use any walking assistive device. LPA reviewed pre-placement appraisal form, LIC 603, completed by family member states that R1 is not able to walk without any physical assistance and R1 will sometimes use a walker but, yes is able to walk with a cane. LPA could not find corroborating evidence that R1 requires assistance or supervision while walking. This complaint is unsubstantiated. Based on the investigation, the above findings are UNSUBSTANTIATED. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where a copy of the entirety report was provided to Administrator Loekner at the conclusion of the visit. reviewed records showing that the facility kept record of payments made by R1’s authorized party and the payment for December 2021 was processed in February 2022. Records show that January 2022 rent has not been paid as of 3/15/2023. This allegation is therefore UNFOUNDED. The Department has found that the allegation is UNFOUNDED meaning that the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted where this report was provided to Administrator Loekner.