complaint·December 8, 2025

. The facility had their care plan in place only during this time for R1's care. Facility became aware of hospice care for R1 on 10/5/25. The facility had been requesting a copy of the hospice care plan from the agency, since it was not provided the day of R1's acceptance on 10/4/25 and/or on 10/5/25 when R1 was seen by hospice agency Nurse at the facility. The care plan was received by the facility late pm, approximately 8pm, on 10/6/25. On 10/7/25, Administrator and Resident Care Coordinator were reviewing care plan, instituting care plan for R1, and discussing with hospice staff R1's medications due to R1's not having the ability to take some of their medications. Per interviews, R1 was receiving food, drinks/liquids, and care upon the return of R1 to the facility. Per LPA's tour of R1's room the resident had a call button in their room, it is unknown if there was a call button previously. Per staff interviews, R1 was refusing care assistance, and was very agitated upon their return; R1 was monitored by staff, and provided needed services as resident allowed/and let care staff provide at the time. On 10/8/25 the hospice agency had agreed to ensure R1 would receive their medication as needed/required for their care, coming out to provide certain medication to R1 while on hospice services. Administrator stated that the hospice agency did come in to provide R1's needed medication until their passing. There was no information obtained that supported a violation occurred regarding the allegation. Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations of "facility staff did not ensure resident needs were being met" and "facility staff did not ensure resident was provided access to call button." are 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. No deficiencies cited. Exit interview was conducted with Eric Perry, Administrator.