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32 | On 01/24/2024, a representative of R1 acknowledged the receipt of the refund. In the letter, the facility was questioned on the final account statement “variance – account balance – refund due” line.
The review of R1’s final account statement listed a “variance – account balance – refund due” line with a set amount.
Based on interview, staff originally calculated R1’s “variance – account balance – refund due” based off of the original community fee rate agreed upon during admission. During the course of the interview, it was disclosed that R1 was given a discount of the community fee rate. It was stated that upon review of the final account statement it was found that the facility had used the original community fee rate, instead of the discounted actual community fee payments received. Once the error was found, staff manually edited and recomputed R1’s refund based off of the actual community fee payments received.
Since R1 was discharged during the third month of residency, R1 was required to receive a refund of at least 40% of the preadmission fee (community fee) per Title 22 Section 87507(g)(5)(E)(2)(c).
R1’s actual refund amount was 40% of the three community fee installments paid on 10/01/2023, 11/15/2024, and 12/01/2023. R1 was also refunded a care credit.
Based on review of R1’s account ledger, the actual refund R1 received shows to be correct.
During visit, a complaint for control number 26-AS-20240124171324 was amended.
No deficiencies were cited today per California Code of Regulations, Title 22.
This report was reviewed with Business Office Director, Francisco Sudiacal and a copy of the report was provided. |