Follow-up·January 24, 2025

On 1/24/2025 at 12:50PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to death report received on 1/20/2025. LPA met with Executive Director, Eunice O'Farrell and explained the purpose of the visit. Death report revealed that R1 was found unresponsive by staff and 911 was called. R1 passed away at the hospital on 1/15/2025 with cause of death unknown. LPA interviewed staff and reviewed documents including R1's physician's report, care plan, and facility notes. On 1/15/2025, staff found R1 looking pale and unresponsive while in bed. R1's physician's report revealed that R1 had long standing persistent fibrillation. Staff called 911 and R1 was transported to the hospital. Family notified facility staff that R1 passed away later that day at the hospital. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.