complaint·September 26, 2025

Regarding the allegation Staff did not ensure medical care for resident. Records confirm Resident 1 was under the care of Tri-City physicians and AccentCare Home Health nurses. Facility staff followed medical instructions and family also retained private caregivers. Allegations that staff failed to ensure medical care could not be corroborated with available documentation. Based on records reviewed, the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged did or did not occur. Regarding the allegation Facility retained resident who required higher level of care. Reporting party alleged Resident 1 should have been transferred to skilled nursing due to the wound. However, treating clinicians documented the wound required simple dressing changes and that Resident 1 remained ambulatory, alert, and appropriate for RCFE level of care with home health support. There is insufficient evidence to establish that the facility retained a resident beyond its licensed capacity. Based on records reviewed, the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged did or did not occur. Regarding the allegation staff did not administer medications as prescribed. The complaint alleged medication errors; however, available records do not contain documentation of missed or incorrect medication administration. No corroborating evidence was provided to show Resident 1’s prescribed medications were not administered properly. Based on records reviewed, the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged did or did not occur. No deficiencies cited Per title 22 regulations. An exit interview was conducted with facility Administrator Wesley Lavender. A copy of this report along with appeal rights were provided.