complaint·August 26, 2022

Interviews with outside sources and a record review revealed R1 was provided a letter dated May 24, 2020 stating R1's monthly rate had increased to $5500 due to an increase in level of care. Further review of R1's records revealed the only additional service being provided outside the scope of services agreed upon at intake, per the Admission Agreement, was incontinence care. A review of the notification provided to R1 regarding the increased rate did not include a list of additional services, and their accompanying costs, that R1 required to meet their service needs. The resident record review revealed no documentation notifying R1 what additional services and their associated costs were provided to R1 to support the rate increase as stated in the Admission Agreement. Based on LPA’s records review, and interviews conducted the above allegation is determined to be substantiated. A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met. LPA Correia conducted an exit interview with Licensee Atkinson at the conclusion of the visit. Signature on this form confirms receipt of the reports (LIC9099), and Licensee/Appeal Rights (LIC9058 01-2016) and per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiency is being cited on the attached LIC 9099-D. This is an amended version of the original report created on August 26, 2022.