complaint·May 26, 2022

Based upon information obtained during the course of the investigation, R1 was accepted and moved from a local hospital into the facility on 3/13/2022. On several dates thereafter, R1 called and requested emergency ambulance service to be transported to the hospital due to extreme chronic pain. According to information obtained, R1 was transported to the hospital on 3/18/2022, and on or about 3/20/2022, hospital personnel notified Staff 1 (S1) that R1 was ready to be discharged back to the facility. S1 informed hospital personnel that R1 did not want to be at the facility and requested the assistance of hospital staff with getting R1 to understand that residing in the facility required execution of an admission agreement and payment of a monthly fee, both of which R1 was not willing to do. Interviews conducted during the investigation yielded that R1 expressly did not want to reside in the facility because it was not a medical facility, and the facility staff were not able to provide medical attention, which is what R1 was seeking and desired to have. Further, prior to moving into the facility, R1 was not aware that the facility staff were not able to, nor would the staff be providing onsite medical care. Between 3/20/2022 and 3/23/2022, R1 continued to remain in the hospital while S1 made attempts to come to an agreement with R1. During that time, an outside source assisted with efforts to get R1 to agree to return and to agree to the terms associated with residing in the facility. R1 returned to the facility on or about 3/23/2022, agreed to sign an admission agreement on 3/30/2022, and remained in the facility until the time of death in May of 2022. Although R1 remained in the hospital three days after the hospital notified facility staff that R1 was ready for discharge, the investigation did not reveal information to conclude that S1 or any other staff of the facility refused R1’s return to the facility. Based upon the foregoing the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Carminda Ramirez, Administrator and a copy of this report and Licensee Rights (LIC 9058) were provided to the administrator at the conclusion of the visit. Her signature on this form acknowledges receipt of the rights and a copy of this report.