Follow-up·August 4, 2023

On 8/4/23 at 1:38 p.m. Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct a case management for a death report the Department previously received. LPA was greeted by staff member Kirsten Yu and allowed entry into the facility. Kirsten is the back up administrator for the facility. LPA reviewed R1's file. R1 was receiving home health care with Compassionate Care. Pressure wounds were noted. LPA spoke with representative from Compassion Care who verified the pressure wounds were not over stage 2. On the night of 6/4/23 through the morning of 6/5/23 R1 was checked on periodically. When Kirsten checked on the resident at about 5:00 a.m. she was unable to find a pulse. Kirsten called 911 immediately. The police arrive first, the fire department arrived after and tried to revive the resident. Fire Department announced time of death. During today's visit on 8/4/23 LPA observed the two residents in the facility. One resident was in their room and the other was in the living room watching television. LPA did not observe any deficiencies and no citations were issued today. Exit interview was completed and copy of this report (LIC809) was provided to Kirsten Yu.