complaint·February 26, 2025

(Continuation of LIC9099) they also needed to inquire with the resident’s direct power of attorney’s (DPOA) preference, which was verified. It was noted the former ED was aware the hospice services rendered to residents were the choice of residents and families. An interview with the Long-Term Care Ombudsman (LTCO) did not observe former issues annotated or have current concerns relating to residents' inability to receive services from their hospice agency or visitors. According to the license, the facility has a hospice waiver approved for 25. Upon review of the facility’s visitor log sheets dated August 19, 2021, through August 31, 2021, a registered nurse conducted their initial visit to R1 on August 27, 2021, and it was determined there were two additional visits conducted by the hospice agency for the remainder of the month, August 28th and 31st, 2021. According to the Communication Update log, the DPOA’s chosen hospice services admitted R1 into hospice for routine level of care during their initial visit, on August 27, 2021. Two additional visits were documenting the reason(s) for their visit which was routine care. According to R1 Physician’s Report (LIC 602), dated August 3, 2021, they were diagnosed with a cognitive impairment and were not under hospice care. A second LIC 602, dated August 27, 2021, said R1 was receiving hospice care. According to the hospice Staff Sign-In Sheet and the calendar for August 2021, the agency commenced services on August 27, 2021. Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and outside source interviews and records reviewed, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated. The report was discussed, and an exit interview was conducted with Angeles Frasier, Resident Service Coordinator. A copy of this report along with Licensee/Appeal Rights (LIC9058 01/16) were provided to Resident Service Coordinator Frasier at the conclusion of the visit. The signature below confirms the documents were received.