The findings of the site visit conducted on 06/02/23, are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities.

Based on interview and record review, during a site visit on 06/02/23, it was confirmed the facility failed to provide proper notification to 1 of 1 sampled resident (#1) to move-out of the facility. Findings include, but are not limited to:

A review of Resident 1's records revealed  there was no documented evidence the facility issued an involuntary move-out notice to the resident.

In a phone interview on 06/02/23, Witness 2 (Family Member) stated the facility had not provided any written notification regarding an involuntary move-out. S/he stated Staff 2 (Business Office/HR Manager) called him/her on 06/01/23 and said Resident 1 would be unable to return to the facility related to "the State would not allow them to legally take another two person transfer because they already have two."

In an interview on 06/02/23, Staff 2 stated s/he told Witness 2 that Resident 1 was "no longer a good fit with the facility's current staffing standards."

The facility failed to provide proper move-out notification to the resident.

Those  findings were reviewed with and acknowledged by Staff 1 (RN) on 06/02/23.

Verbal Plan of Correction: The facilities RN stated they would accept the resident back with hospice and proper transfer equipment. Next time the facility staff would be sure to discuss goals of the resident care needs with family and hospital staff.