In my time working there, MediCal patients who were there for therapy were only given 40% of the therapy that they were supposed to receive because Rockport put an artificial ceiling of 60 minutes per day on these patients therapy. Even if MediCal was paying $700 per day, which was more than $500 a day over the cost of providing care, Janet Stone still refused to approve the care that the residents needed. My understanding is that this policy is still in place with Amad Nazifi in the leadership position but given that it is probably fraud, It is an unofficial guideline.
Re: “Bluffing”
You hit the nail on the head yet again!
Regarding dementia patients and self release seat belts however, if the state asks the resident to release the belt and the resident aloofly ignores the request, the facility gets blamed for restraints. In similar situations bilingual residents forget their English when omsbudsmsen and state inspectors arrive.