complaint·February 28, 2024

1. Resident Appropriateness: After reviewing the resident's medical records and care plans, it was determined that the resident was appropriate for the level of care provided by the facility. The resident's needs were being met, and there were no indications that the resident required a higher level of care before hospitalization. It was determined before release from the hospital that the resident needed a higher level of care. The family member did not want the resident to go to a Skilled Nursing Facility (SNF). As of February 22, 2024, the resident is no longer residing at the facility. The family member retrieved the resident's belongings. The resident was hospitalized on February 14, 2024, directly from an appointment with dialysis. Resident 2 (R2) was deemed appropriate for the facility at Level 1 based on the assessment conducted before move-in to the facility. R2 was diagnosed with aphasia s/p stroke, which caused communication limitations for R2.  The staff interviewed did not deem R2's behavior as "aggressive" but as frustration due to limited communication. 2. Staff Clearance: All staff members working with residents had undergone the necessary background checks and clearance processes as per the facility's policies and procedures. No uncleared staff members were working with residents at the time of the investigation. Based on the findings of the investigation, the allegations that the facility retained a resident who was not appropriate for the level of care provided and had uncleared staff working with residents are unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Rebecca Toves, Executive Director. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Executive Director and her signature on this report confirms receipt of the Licensee Rights.