Complaint·December 15, 2023

in; complications with the surgery site occurred and required R1 to be transported to the hospital. Facility staff arranged for R1 to be transported to the hospital. At the hospital, R1 was diagnosed with infection to the surgery site. Interviews indicated that R1 required antibiotic administration and closer monitoring of the wound. Interviews revealed that R1 did not return to the facility. Records show that on July 10, 2023, R1’s authorized representative submitted to the licensee a 30-day notice informing them that R1 was discharging from the facility. Records showed that on July 12, 2023, R1’s personal items were removed from the facility. Admittedly, when interviewed, the licensee stated that they did not initially refund R1’s paid rent. A review of R1's admission agreement was conducted. The agreement was signed by facility staff and an authorized representative for R1 on June 29, 2023. According to the Conditions for Preadmission Fee Refund (2)(b) section of the admission agreement, “If the resident leaves the facility for any reason during the first month of residency, the resident shall be entitled to a refund of at least 80 percent of the preadmission fee amount in excess of five hundred dollars ($800).” Interviews and records confirmed that the licensee applied a credit for the preadmission fees towards remaining rent and transportation costs. The refund for preadmission fees was stipulated and clearly documented in the admission agreement. It should be noted that specific language was not present in the admission agreement, outlining the conditions for refund of pre-paid rent upon relocation of a resident. However, it should also be noted that the facility refunded a portion of R1’s monthly rental fees on 12/15/2023. Based on interviews and review of documentation, insufficient evidence was obtained to prove the licensee violated Title 22 Regulations related to the refund of preadmission appraisal fees. The preponderance of evidence standard was not met. Therefore, this allegation is Unsubstantiated which means there is not enough evidence to prove or disprove the allegation occurred as reported. An exit interview was held, and a copy of this report was discussed with Licensee, Rathi. A copy of the report along with appeal rights (01/2016) were provided to Mr. Rathi at the conclusion of the visit. Mr. Rathi’s signature on this form acknowledges receipt of these rights.