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32 | Information was received that on 1/15/2026, the resident was ready to be discharged from the hospital, but facility staff refused to accept the resident back to the facility and as a result R1 was transferred to a skilled nursing home. In addition, it was reported that R1 prepaid the month of January and staff refused to refund any money to R1. Staff interviewed denied that R1 was evicted or that a refund was refused. Interview with staff and records reviewed revealed that R1 was admitted to the facility on 12/30/2025; R1 exhibit aggressive behavior during the first week of admission. Staff reported that R1 would yell, push and hit staff. Interview with staff revealed that on 01/07/2026 R1 showed signs of aggression, pushing and hitting staff. Staff contacted paramedics and R1 was evaluated by the team and considered danger to self and others therefore R1 was transported to the hospital. According to the ED and staff they never received clearance for R1 to return. ED reported that R1 was not cleared to return to assisted living and was authorized/cleared for skilled nursing facility by the medical facility. Interview conducted with Case Manager from LA Downtown Medical Center and records reviewed confirmed that R1 was cleared to transfer to a skilled medical facility and therefore could not return to Savant of Woodland Hills. According to the Case Manager, since the responsible person for R1 did not want to transfer R1 to the skilled nursing facility operated by Savant the decision was made to transfer R1 to Driftwood Health Care by R1’s responsible person. Regarding the refund issues, LPA conducted interview with R1’s responsible person and it was confirmed that Savant of Woodland Hills did issue a refund for the payment made in January 2026.
Based on the above information gathered, there is insufficient evidence to support the allegations or that a violation occurred; therefore, the allegations “Illegal eviction and Staff did not issue a refund to resident in care” are deemed unsubstantiated at this time.
Regarding allegation of “Staff did not follow proper reporting requirements” – Information was received that resident #1 sustained a fall and the responsible person for R1 did not know the full incident and did not receive a report of the fall incident. Interviews conducted with staff and records reviewed revealed that R1 moved in on 12/30/2024; R1 was present at the facility for approximately one week and had two fall incidents with no injuries. Records reviewed revealed R1 had a fall incident on 1/1/2026 and 1/6/2026 with no injuries – on 1/7/2026 R1 was aggressive with staff; danger to others therefore was 5150d. Records reviewed revealed that R1’s responsible person was contacted for both fall incidents and 5150 transfer. Staff interviewed stated that R1’s responsible person was provided with information on hand surrounding each incident and the ED kept in communication with R1’s responsible person following R1’s 5150 transfer. (Continue to LIC9099c) |