Incident investigation·April 1, 2026

On 04/01/2026 at 10:30 AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced Case Management visit regarding information provided pertaining to a resident committing suicide at the facility. The facility sent in a death report on 03/11/2026 and spoke with CCL office support on 03/10/2026 to advise of incident. LPA met with Executive Director (ED), Quaid Holder, and Director of memory care, Maureen Lee, and explained the purpose of the visit. Death Report (LIC624A) indicated that Resident 1 (R1) was in shower with shower hose around neck. Staff performed CPR until Paramedics arrived. Paramedics pronounced R1 as deceased at 11:58am. During the visit, LPA reviewed, facility roster, death report, R1's service plan, physician report, face cover sheet, identification and emergency notification, and service plan. LPA may return at a later time. No deficiencies cited. Exit interview conducted and a copy of this report provided.