complaint·February 14, 2026

obtained. Review of death certificate revealed that R1 expired on 01/26/24. The cause of death was Consequences of Blunt Trauma due to ground level fall. Per medical records, on 01/22/24 R1 was admitted to the hospital due to a blunt trauma to the head. Further review of medical records reveal that R1 appeared to have been down for an extended period of time, outside in the rain. R1 had suffered intracranial hemorrhage following injury with prolonged (more than 24 hours) loss of consciousness with return to pre-existing conscious level, resulting in death. On 05/01/25: Investigator Canto interviewed facility administrator, Gayane Alaberkyan. This interview revealed that on or around 01/22/24, facility staff (S1) informed her that R1 had a fall. Administrator had no direct information as to the cause of the fall, however S1 advised her that there was a loud noise coming from the hallway, and when S1 went to follow up, R1 was observed on the floor. Paramedics called and R1 was sent to the hospital. On 05/20/25: Interview with Reporting Party (RP) was conducted to confirm the allegation. Between 12/08/25 and 12/30/25. R1’s available medical records were referred to and reviewed by CCLD Clinical Consultant. It was revealed that “There is no adequate evidence to conclude whether the facility would be culpable for death due to a fall”. Today's investigation consisted of additional interviews with three (3) of four (4) residents between 9:30am-10:30am. One resident was at dialysis and could not be interviewed. LPA also interviewed one (1) of one staff and two (2) administrators, over the telephone between 10:30am to 11:30am. In addition to interviews, LPA conducted a physical plant inspection between 11:30am to 12:30pm. Based on the information obtained, there is insufficient evidence to prove that R1 succumbed to unexplained injuries and expired due to these injuries on 01/26/24. Therefore, the allegation is deemed Unsubstantiated at this time. No immediate health and safety hazard is noted during this visit. Exit interview conducted and a copy of report was issued.