Incident investigation·February 6, 2024

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday February 6, 2024, to conduct a case management visit to obtain additional information on an incident which was reported to the Department on Wednesday January 31, 2024. LPA discussed the incident with Resident Services Director Emily. LPA learned that on Saturday January 27, 2024, R1 was observed to be in distress at approximately 4:20 pm. Emily observed resident attempting to clear their throat. A short time later, Emily began the Heimlich Maneuver until first responders arrived at the facility. R1 was pronounced deceased at the facility at approximately 4:57pm. LPA obtained the following documents from R1's file: physicians report, preplacement appraisal, care plan, diet clarification form, identification and emergency information form, and current service plan. Per documents, R1 was independent with meals and not on a special diet. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.