Incident investigation·October 4, 2024

Licensing Program Analyst (LPA) Rose Ruppert conducted an unannounced case management visit regarding an Incident Report received in our office on October 4, 2024. LPA was greeted and granted entry by the Concierge. The facility's current census is ninety-four residents. The purpose of the visit is to follow-up on a Death Report received in our office. LPA requested Resident #1 (R1)'s: Identification Form, Physician's Report, Needs and Services Plan/ Appraisal, Pre-appraisal, Progress Notes as well as copies of the Staffing schedule for October 1, 2024. LPA spoke with Lizette Flores, Health Services Director (HSD) regarding the incident and the chronological order of events. An exit interview was conducted with Ashley Lee, BOD and a copy of this report and LIC 858 were provided at exit.