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32 | The investigation revealed of the following: Allegation#1 “Licensee did not ensure pre-admission appraisal was done correctly.” It is alleged that the facility told R1's family that R1 requires more care than the facility can provide and the facility told R1's family to hire an outside agency to provide additional care while the family is looking for a new care home for R1. LPA interviewed 13 residents and all denied the allegation and indicated the facility is able to provide the assistance that residents required and needed. LPA interviewed the staff and denied the allegation and stated before resident move in to the facility, the facility would complete a pre-appraisal assessment along with the primary care physician report and review resident’s medication and also see if resident is under fall risk or not. They would also complete a 30-day assessment after resident move in and communicate with the families and see if the resident required full assistance. Based on the documents reviewed, the facility completed the resident’s appraisal and a comprehensive health and service evaluation with needs and service plan for R1. The facility also assessed R1’s fall risk and the level of care. In addition, the facility tried to accommodate residents’ needs and let R1’s family stay with the resident during the transition period.
Allegation#2 "Facility did not issue the correct refund amount." It is alleged that R1 should have been refunded more than what the facility provided upon leaving the facility. LPA reviewed R1's financial records and conducted interviews with staff. R1's record review revealed that the facility charges a $3500 community fee. However, R1 received promotional offer which waived $2000 of that initial fee, therefore R1's family only paid a $1500 community fee upon moving in on 05/07/2022. The monthly charges for May 2022 was scheduled to be $3207, however R1 only lived at the facility for two weeks, therefore paid a prorated amount of $2762 for the month instead. Per the Admission Agreement signed by R1's family, they were entitled to an 80% refund of the community fee which equaled to $1193. In addition the facility agreed to provide a "miscellaneous fee" in the amount of $310 to R1's family which was not required per the Admission Agreement. In conclusion, R1's paid a total of $6707 but was refunded $4265. There was no evidence obtained during the investigation indicating that R1's family should have received a larger refund.
Based on statements and interviews conducted with staff and residents and documents reviewed, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Exit Interview Conducted. A copy of the report was provided to the Executive Director Laura Rodriguez.
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