complaint·September 25, 2024

R1 was recently upgraded to a private suite which means R1 has two rooms, that the facility bills separately. OS stated that R1 gets billed for two rooms but it's not being done fraudulently. It was reported that R1 does not have a dementia diagnosis and was moved to the memory care unit in error. Records review of R1's Physician's report revealed R1 has a dementia diagnosis. Physician's report also indicated that R1 gets confused and disoriented. R1 wanders and requires assistance with medication management. LPA interviewed outside source (OS) who stated that R1 "absolutely" should be in the memory care unit. OS stated that R1 has a dementia diagnosis and R1's doctor recently conducted R1's yearly check-up which found R1 to have more memory loss. OS stated that R1 has memory discrepancies 50-60 seconds after something is told to R1. It was alleged that staff instructed residents not to use their pendants, or they will be charged extra for using them. LPA interviewed Memory Care Director (MCD) who stated that although their are call buttons in the bathrooms in memory care, their are no call pendants in the bedrooms. MCD stated that they keep "eyes' on the memory care residents throughout the day by keeping them out of their rooms. MCD stated that for the few residents that remain in their rooms staff members check up on them often. LPA interviewed outside source (OS) who stated that R1 did utilize their call pendant in the assisted living (AL) side of the facility, but OS found that call pendants are not a tool used in the memory care section of the facility. LPA interviewed outside source 2 (OS2) who stated that her father has lived at the facility for 4.5 years. OS2 stated that she is very pleased with the facility and the memory care unit. OS2 stated that the memory care staff are highly attentive to her father's needs. OS2 stated that she highly recommends the facility since they have great communication between the facility and the resident's family. LPA observation found that the call pendant device is not used in the bedrooms of the memory care unit. No evidence was found to substantiate the claim that residents were instructed not to use call pendants which are non-existent in the memory care unit. Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. An exit interview was conducted with John Brown. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to John Brown whose signature below verifies receipt of these rights.