Complaint·March 22, 2024

Continued from LIC 9099C... It was alleged that staff increased resident fees without providing new additional services. It was reported that no additional services have been added to justify the increase in resident fee. Records review revealed that residents who were assed prior to being admitted to the facility as independent were not charged any additional fees as they required no additional services already being provided in the basic monthly fee. Additionally, residents did not require assistance with any activities of daily living (ADL’s) including medication management. A review of random resident admission agreements revealed that five (5) out of five (5) admission agreements did not have an updated admissions agreement disclosing the rate change. Although the facility submitted a change of Assessment Tool, Structure of Level of Care Levels and Resident Agreements on 03/09/2023, residents who are scheduled to have an increase in resident fees by April 2024 have yet to sign an Addendum to current admissions agreement or an updated admissions agreement that reflects new information pertaining to the Structure of Level of Care Levels. Furthermore, residents received a letter from the facility corroborating the statement that no additional services will be provided to residents following the fee increase in April 2024. Based on the information obtained and reviewed, the allegation of, “staff increased resident fees without providing new additional services” is being deemed Substantiated at this time. The following deficiencies were observed (See LIC 9099-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.