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32 | LPA interviewed R1, who acknowledged needing assistance at times but stated that R1 chooses to make personal decisions and that family members are actively involved in R1's care. Records confirmed that R1's family members serve as the responsible parties. Staff reported they assist and guide R1 as needed; however, R1's family schedules medical and personal appointments and arranges transportation. Physician records indicate that R1 is able to leave the facility unassisted. Although R1 has a documented cognitive disorder, R1 stated that medical decisions are made jointly by R1 and family members. Resident records further confirm that the facility manages and administers R1's medications, which are services being paid for by (R1). According to (R1s) admission agreement, “personal transportation and supervision” is an optional service for an additional charge for residents, which was declined by (R1).
Residents interviewed reported using various transportation options for medical appointments, including the facility's transportation service and other transportation providers. None of the residents interviewed expressed concerns regarding the transportation assistance or medical support provided by the facility.
Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegation that facility staff failed to assist R1 in meeting medical needs during medical appointments. Therefore, the allegation is Unsubstantiated.
Allegation #2: Staff do not ensure residents have access to transportation for required medical appointments. To investigate the allegation, on 09/18/2025, from 10:00 a.m. to 1:00 p.m., (LPA) interviewed three (3) staff members, Resident #1 (R1), and twelve (12) of twelve (12) residents. LPA also obtained and reviewed facility and resident records. During a subsequent visit, LPA conducted follow-up interviews with three (3) staff members and twelve (12) residents.
According to the complaint, there were concerns that the facility did not provide transportation for R1’s medical appointments. Interviews with R1, other residents, and facility staff revealed that the facility provides transportation for residents’ appointments, including medical and personal appointments. Staff #1, the transportation supervisor, reported that the facility driver follows a set schedule for resident pick-ups and drop-offs throughout the week, with designated days for resident outings.
(Cont'd LIC9099 - page 2)
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