Complaint·April 22, 2026

Staff stated they were advised by the paramedics that R1 required permission due to the resident contacting 911 themselves. Staff called R1’s responsible party to obtain permission but could not get hold of them. R1’s responsible party reported receiving calls from an unknown number, and the person calling was speaking a different language. Therefore, no contact with facility staff was made. Staff explained that the paramedics did not transport R1 to the hospital. The following day, R1’s responsible party was made aware R1 was still having pain and arranged transport to the hospital. R1 was experiencing pain upon admission to the facility and awaiting the hospital to schedule their hip surgery. A review of facility records reflected on 12/17/25, R1 signed the facility’s Consent For Emergency Medical Treatment form. The form provides consent on behalf of the facility for the residents. R1 reported they called 911 because they were in pain. R1 admitted they didn’t alert staff that they contacted 911. R1 stated they explained to the paramedics they were in pain and awaiting surgery. The paramedics stated there wasn’t a medical need to take R1 to the hospital. R1 said the paramedics explained the transport was costly. Therefore, that was the reason staff contacted R1’s responsible party to clarify if the responsible party would pay for the transport. R1 declined the transport due to the paramedics stating there wasn’t a medical need and the cost being high. The paramedics are trained health professionals and make decisions on transporting individuals requiring care. The paramedics did not observe a medical need to transport R1. Conflicting statements were made regarding delayed medical care. It was also alleged that staff did not meet R1’s hygiene needs by not providing grooming/hygiene and assistance with brushing R1’s teeth. It was also reported that R1 was not clean when arriving at the facility from the SNF. In addition, R1’s responsible party asked the facility staff to wash R1's feet, shave their face, and do a general clean up. The following day, R1 was not provided with their hygiene needs, as requested. Staff interviews stated R1 was at the facility for a few days but was kept clean and they were not asked to clean or shave R1. Staff added they ensure residents receive their hygiene needs. Staff also recalled R1 as being independent with brushing their teeth. R1 confirmed they are able to brush their own teeth, if they are provided with their items. R1 also stated they were at the facility briefly but were kept clean by staff. Conflicting statements were made regarding hygiene needs being met. Continued on LIC 9099C. During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Licensee, Dr. Mohammad Rahman via email.