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32 | Per interviews with Current Executive Director Erin Palposi, Erin stated that there was a new care assessment tool, August, which went into effect on January 1st, 2026. Erin provided an email sent to families on October 2, 2025 regarding the rate structure change which would take effect on Jan 1, 2026. Per the email it was notated that care levels have changed and provided a new rate and level structure.
Per review of R1's Resident Assessment dated on September 08, 2025 R1 was at a total of 52 points which placed R1 at Level 1 of care. On September 29, 2025 R1 was reassessed to be at a Level 2 with 96 points. Both assessments were conducted with AL Advantage which resulted in lower levels of care reflected. Per review of August assessment dated September 29th, 2025, R1 was assessed at a Level 4 with 133 points due moderate help needed for cognitive/orientation, stating "Resident constantly rearranges personal belongings and furniture... requiring constant re-arranging and redirection" Per review of email sent on September 29. 2025 to R1's responsible party the new assessments and points were provided to R1's responsible party. Based on interviews with staff, residents were not charged for the new level of care based on August assessments until Jan 1st 2026. Per review of billing for R1 there were credits added to R1's account to reduce care rate to reflect the lower level of care payment until January 1, 2026.
Per ED R1 had an episode of wandering outside of the facility in early February 2026, ED stated that R1 was in the front of the building with the front desk staff and did not leave from staff's side. ED stated that she went to assist with the resident and redirect R1 back into the facility. Per ED it had been reported that R1 had previously tried to exit the facility. ED stated they called R1's responsible party and informed them of R1's attempt to exit. Per review of email from ED to R1's responsible party it was explained that due to R1's exit seeking behavior R1 would remain at a level 4 care needs in February of 2026.
Per ED the facility is required to provide all care needs if that is what the resident is care assessment requires. Per interviews with 5 out of 5 residents stated rate structures and care assessments were explained and it was explained as care needs increase the care rate will increase.
Therefore based on the preponderance of evidence through records reviewed and interviews the allegation Staff do not do proper reassessments before a level change is determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred.
No deficiencies cited. An exit interview was conducted and a copy of this report this report was left at the facility. |