complaint·May 22, 2025

Regarding the allegation "suspicious death,” it is being alleged that Resident #1 (R1) did not show any signs of illness other than being uncomfortable. It is alleged that R1 did not give the facility permission to be placed on hospice. Record review of R1’s physician’s report (02/22/25) revealed that R1 had cancer and poor health. Record review of hospice report revealed R1 was diagnosed with secondary malignant neoplasm of bone and R1 passed away peacefully. Death report revealed R1 was admitted to hospice at the same time R1 moved into the facility on 02/23/25 and died on 03/11/2025 11:59 AM. S1 indicated that R1 was discharged from the hospital and arrived to the facility very weak. On the day of arrival, he was placed on hospice. W1, R1’s son, indicated that R1 was already tired due to stage 4 terminal cancer. W1 indicated that R1 did not want to end up on hospice but R1 needed to be supervised due to declining health. Interview with Witness #3, from the hospice company, indicated that R1’s death was natural. Regarding the allegation “suspicious death," based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. An exit interview was conducted with Administrator Antonia Dionisio over the phone and a copy of this rep ort was provided to the Staff Will Pison.