complaint·July 28, 2022

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced complaint investigation visit to deliver findings for the above-mentioned allegations. LPA Silveira identified themselves, stated the purpose of the visit and met with Erica Castille and shared the findings. The Department’s investigation consisted of interviews and records review. On 07/22/2021 it was alleged that the admission agreement was not signed by resident (R1), who was their own responsible party. It was also alleged that R1 was not provided with a copy of the signed admission agreement. Records review demonstrated that an admission agreement was signed by R1 on 12/24/19. Interviews with multiple facility staff revealed that it was standard facility procedure to make a copy of the admission agreement and provide it to residents once the agreement had been signed. Interviews with R1 and outside sources revealed that there was uncertainty regarding whether an admission agreement was provided to the resident at the time of admission. Based on the evidence obtained during the complaint investigation, the above allegations are determined to be unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report and Licensee's Rights (9058 01/16) were printed and provided to Erica Castille at the facility.