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32 | Although the charge for care fees are being billed at $3,640.75/month, with the credit of $296.75 being applied, the total monthly care fees are $3,344/month. Based on the accounting ledger for R1, in October 2025, R1 was charged $3,640.75/month, however, was credited back $10.038.78. According to documents reviewed and interviews conducted, R1’s care level was higher prior to 7/1/2023 – date of transition and the care point assessed after the transition was at 177, which at the time totaled $3,434, which continued to be charged at that rate until January 2025. The care rate increased from $21 to $22 and all residents were transferred over from the 2024 assessment tool to the 2025 assessment tool for the new rate to take effect. That’s when the 2025 rate for care reflected $3,640.75. Because R1’s account was considered “legacy” his/her care rate was grand fathered in at the locked-in rate for the first 152 points and therefore, would generate a credit difference between the 2024 care rate and 2025 care rate.
According to staff interviewed and emails reviewed, R1’s responsible party agreed to this care assessment and care amount of $3,434 on date of transition, 7/1/2023, however, Oakmont Management did not understand why refunds were being requested from R1’s responsible party. On 10/17/25, Oakmont’s Regional Director of Operations emailed R1’s responsible party and indicated that an immediate goodwill credit of $10,038.78 will be returned to R1’s responsible party.
Regarding the allegation, facility staff are not honoring the terms and conditions of the admission agreement, according to the reporting party, Resident 1’s (R1’s) the facility is not honoring the billing terms tied to the care point system in the admission agreement with Sunrise Senior Living had.
According to staff interviews and documents reviewed, after Oakmont Management Company took over Sunrise Senior Living the billing is different. Sunrise Senior Living calculated care in a different way to Oakmont and the translation of care services from Sunrise's point system to Oakmont's is a
computer algorithm based on services provided. There's not a specific dollar per point during the transition from Sunrise. At that time, R1's care services equated to 152 points and that point total doesn't change unless R1 switches to an Oakmont residency agreement.
Based on documents reviewed, information collected, and interviews conducted, the department has determined that although the above allegation may have happened or are valid, there is no a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is UNSUBSTANTIATED. Report is reviewed with Administrator, Jennifer Duenas and a copy is provided. |