Follow-up·October 31, 2023

At approximately 9:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a case management visit in regards to two unexpected deaths that occurred at the facility. LPA met with Administrator David Uballez and reviewed records. Resident, R1, was seen at the hospital on 09/13/2023 for Pneumonia. Discharge paperwork requested R1 to see a cardiologist as soon as possible. R1 was also referred to Home Health. R1 continued to decline and a hospice consult was requested. Facility updated care plan and was conducting safety checks every 2 hours. On 10/26/2023, care staff found R1 unresponsive and emergency personnel were contacted. All notifications were made by facility. On 10/19/2023, Resident, R2, was vomiting and experiencing shortness of breath. Facility contacted emergency personnel and R2 was transported to the hospital and admitted. Facility was notified by responsible party on 10/22/2023, that R2 had passed. Facility requested a copy of the death certificate. No citations issued during this visit.