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32 | medication technician in the medication room as seen through the open door, activities staff preparing for a resident program, and 1 care staff assisting a resident with a concern in their room. LPA also observed residents chatting with members of the new management team, signing up for excursions in the log in the large common room, and one resident sitting in the lobby.
Regarding the above allegation: Facility refused to accept resident after being discharged from the hospital:
Based on interviews conducted with the resident (R1), Marlene Bremmer, the Interim Executive Director, and Ashley Sylve, Quality Assurance/Performance Improvement Director (RQAPID)/Designee, this LPA learned the following. On 08/22/25, R1 went to the hospital for medical treatment of a wound. While there, R1 was also diagnosed with a contagious infection and they remained at the hospital for further treatment. On 08/28/25, R1 returned to the facility from the hospital without having been re-assessed at the hospital by a member of the facility. This LPA also learned from an interview with Bremmer, that the hospital contacted Legacy Oaks to let them know that R1 had left without completing their discharge process. During that conversation, Bremmer learned from the hospital representative that R1 had identified themselves as living independently. Bremmer clarified and stated that although R1 was an independent person, R1 resided in an assisted living facility. At the time of this complaint, the census was 84 residents in care.
When R1 arrived at the facility, Bremmer refused to allow R1 to stay without returning to the hospital to be reassessed. Bremmer stated, "Whenever a resident is in the hospital for 3 or more days, we always reassess their care needs in case their care plans need to be updated." Bremmer went on to say that the facility had to have the correct documentation from the hospital to establish that R1's medical condition was not a risk to other residents along with what steps the facility needed to put into place to continue to care for R1's wound. Bremmer stated, "We were not trying to evict R1, we were enforcing our infection control protocols."
This LPA learned from R1 there was, "No reason they should have made me return to the hospital to wait in the ER waiting room until I could be seen again or until the facility could send someone to reassess me and allow me back." Instead, R1 told this LPA that, "I stayed at my girlfriend's house and the next day I went to my doctor." The following day R1's primary care physician cleared R1 to return to the community. R1 presented their documentation to Bremmer and arranged for home health to continue the wound care.
The facility did not evict R1; it delayed R1's readmission back into the community until they could provide |