complaint·May 16, 2024

Page 2 of 2. On 3/20/2024, LPA Rai interviewed AED, Alex Baisu and 2 staff (S1-S2). AED and S1 confirmed R1 is not in the community during today’s visit and R1 is admitted at the skilled nursing facility. AED, S1 and S2 stated R1’s belongings are present at the facility and is expected to pay the invoice. AED and S1 stated the invoice will state the care services, but after 14 days, the system will reimburse the charges due to resident being out of the facility. S1 stated the facility is not requesting for the resident to pay for care costs since they are not providing the care to R1, but the Admission Agreement states the residents need to pay for the rent while they are away from the facility. On 3/20/2024, LPA Rai interviewed R1’s spouse (R2) who resides in the same room as R1. R2 confirmed R1 has not been in the community since 12/12/2023. R2 stated he/she understands the rent agreement in where R1 will be charged the Basic Service Rate, but does not understand if the facility should charge for the Personal Service Rate. Based on review of R1’s Admission Agreement on page 7 under “C. Absence, section 2. Fees During Absence”, it stated “if you are absent from the Community for any reason, such as, for a hospitalization, vacation, temporary nursing home care or rehabilitation, the Residency agreement will remain effective and you will be charged the full Monthly Service Rate.” The Admission Agreement is signed by R1’s Financial Power of Attorney. Based on review of R1’s Amount History Report dated 3/20/2024, R1 was charged the Personal Service Rate of on 01/01/2024, 02/01/2024, 3/1/2024 and 4/1/2024. However, R1 was credited the "Care Credit - One Time" on 2/15/2024, 3/14/2024, and again on 3/14/2024. As indicated by AED and S1, the billing system did reimburse R1 for the care services after 14 days since R1 was out of the facility. The facility did reimburse R1 in a timely manner in February, and twice in March. The Department has completed the investigation of the above allegation. Based on interviews conducted and record reviews, the department has found that the above allegation was UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Health and Wellness Director, Valentine Mathangani and a copy of the report was provided.