complaint·July 15, 2025

[Continuation of LIC 9099] An interview with the Residential Service Director (RSD) disclosed they notified R1’s Power of Attorney (POA) that R1 was displaying increased behaviors, subsequently R1 was taken to a Physician for a reassessment. Based on the reassessment signed and dated April 01, 2025, revealed R1 was prescribed additional medications, and was unable to self medicate, subsequently facility staff determined R1 required a higher level of care. An interview with Outside Source1 (OS1) revealed that the facility had always provided medication management to R1 since they moved in and there was no difference in care being provided to support the increase in price. The interview with OS1 also revealed not being notified regarding the reassessment and increase in level of care due to medication management and OS1 believed R1 was able to self medicate with their assistance. In addition, OS1 disclosed R1 had an outside agency come to the facility daily to provide R1 assistance. However, the RSD disclosed and a record review corroborated, it was OS1 that took R1 to be reassessed, and it was determined by the reassessment that R1's increase in behaviors required an increase in a number of medications which required additional staff time, and a higher level of care was appropriate to meet R1’s needs. An additional record review, dated April 25, 2025, revealed that OS1 had R1 reassessed again by their PCP and was deemed able to self medicate. Subsequently an additional report (issued by the same physician that declared R1 able to self medicate on April 25, 2025, as previously mentioned) that was signed and dated on June 17, 2025, to the contrary of their initial report, revealed R1 was not able to self medicate and their POA would not provide assistance. Based on record reviews and interviews with facility staff and outside sources the above-mentioned allegation was determined to be Unsubstantiated. An Unsubstantiated finding means the preponderance of evidence to prove the violation occurred was not met. An exit interview was conducted with E.D. Guillen, to whom a copy of this report, and Licensee Rights (LIC 9058), will be provided. The signature below confirms receipt of the reports *This is an amended version of the original report delivered July 15, 2025.