complaint·February 9, 2026

A review of R1’s pre-admission appraisal indicates that R1 has a tendency to become easily frustrated and may lash out physically. Additionally, R1’s care plan documents occasional behavioral issues, including aggressive behavior, socially inappropriate conduct, and verbally or physically inappropriate actions. The care plan further specifies that facility staff are required to demonstrate special tolerance and/or receive appropriate training. It also states that R1 is to be monitored for safety and redirected to a calmer, quieter environment at the early signs of behavioral escalation. Based on this information, due to lack of supervision it resulted in a resident harming another resident. As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes Allegation: Unauthorized charge to resident's account-It was alleged that there were unauthorized charges to the resident’s account. During the course of this investigation, LPA conducted interviews and reviewed facility records. Based on interviews conducted, it was learned that the facility admitted that their records show that the facility added an addition charge for care to the resident’s ledger without notifying the resident. In addition, a review of the facilities files show that the facility administrator asked for the resident’s account to be credited the amount that was initially taken off accidentally. Based on the information gathered, there is sufficient evidence to prove that there were unauthorized charges to the resident’s account. As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. An exit interview was conducted and a copy of this report and appeals rights was provided to the facility at the end of this visit.