Complaint·February 6, 2024

and would not pay for the additional care. The resident stated that the facility charged additional fees for “personal care.” Additionally, it was alleged that the facility said R1 made threats to kill relatives in another state. When interviewed, R1 denied making the statements. The facility self-reported the incident. Reporting noted that the facility called 911 because R1 wanted paramedics to check their blood pressure and blood sugar. The records reflect that upon assessment, responding medics checked R1’s vitals and they were normal. Due to the statements made, the facility also called police and a crisis team to evaluate R1. Reporting and statements concluded that R1 refused treatment and denied making the threat. R1 was not hospitalized. Interviews with staff and outside sources indicate that R1 did in fact make the statements. Following the incident, the facility admittedly applied one to one supervision of R1 without the resident’s consent. R1 told the facility they would not pay for the additional care and supervision. LPA conducted interviews and reviewed facility records associated with this incident. Records and interviews indicate that the facility did apply the additional services due to safety concerns for R1. However, records showed that R1 was not charged for the additional services. Additionally, the facility has policy to implement one to one supervision for safety reasons and it’s noted in R1’s Admission Agreement. Outside source interviews reported that R1 held an unrealistic expectation of the service they should be provided by the facility staff. LPA interviewed an outside source close to R1 and assisted R1 in their admission into the facility. The outside source told LPA that R1 became very demanding of them and facility staff. The source did not know but thought it was R1's health conditions were worsening that were causing R1's difficult behavior. At one point, this source asked the facility to remove them as an emergency contact to R1. Based upon the evidence gathered during this investigation, insufficient information was obtained to support the allegations. The Preponderance of Evidence Standard was not met. As such, the allegations are Unsubstantiated. An exit interview was conducted with Director, Lopez and a copy of the report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Director, Lopez, whose signature confirms receipt of receiving the documents.