complaint·February 27, 2026

Continued from LIC9099... The facility provided R1’s records including their care plan and medical assessment. According to their physician report (LIC602) dated 1/9/26, R1 has a diagnosis of paranoid schizophrenia, which is addressed in R1’s care plan. Facility’s care notes dated February 6, 2026, indicate that at approximately 9:30am the facility was contacted by an outside agency individual (I1) informed them that R1’s medications should arrive prior to R1’s discharge, then another entry at approximately 9:40am revealed that I1 notified the facility that R1 will be discharged to a shelter. Last entry at 11:00am, R1 discharged from hospital to a shelter. Based on interviews conducted with outside parties (I1) confirmed that R1 was discharged to a shelter after Administrative Assistant briefly refused to take R1 back to the facility, after a couple hours due to unknown reasons Administrative Assistant contacted I1 to tell them to bring R1 back to the facility. According to Administrative Assistant, R1 has been experiencing ongoing thoughts that somebody wants to hurt or kill them (unknown names revealed). Per Administrative Assistant, the hospital wanted to discharge R1 to a shelter and they didn’t contact the facility. On 2/6/26 at approximately 9:30am, they learned that R1 had been discharged to a shelter, they subsequently at 9:40am contacted R1’s case worker to let them know that R1 could come back to the facility because they want to give them a second opportunity. LPA interviewed R1 who confirmed that they were discharged from crisis center to a place due to unknown reasons, but it was briefly, then they got picked up and were brought back to the facility. Per R1, there are no concerns about the care and supervision provided to them by facility staff. Although interviews conducted by LPA with involved parties revealed conflicting information, there was no written eviction letter issued, and it was determined that the facility refused that R1 come back to the facility for a short period of time, then they changed their mind and R1 was brought back to the facility. The finding that the allegation of staff wrongfully evicted a resident is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted with Administrative Assistant and copy of report was given.