Incident investigation·March 11, 2026

Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday March 11, 2026 to obtain further information regarding a death report that was submitted to the Department. LPA met with Vandhana and explained the purpose of the visit. LPA learned the following: R1 moved into the facility on 1/2/2026. R1 had previously lived another RCFE. R1 did have a history of falls at their previous facility. R1 had two falls while at Sunrise of Rocklin: 3/1/2026 and 3/2/2026. The fall on 3/1/2026 occurred in the hallway, unwitnessed. Facility nurse assessed the resident who did not present with any pain or injuries. Facility called the family who then refused to send the resident to the hospital. The fall on 3/2/2026 was witnessed by staff in resident's room. Resident was walking backwards and lost their balance. R1 did not hit their head on this fall. R1 was observed to be flushed, shaking, and weak on 3/3/2026. Resident was sent out to the hospital. R1 was expected to return on 3/5/2026 on hospice. R1 was diagnosed with a subdural hematoma. Per family, doctors were unsure if the subdural hematoma was from a previous fall or the recent unwitnessed fall. R1 however declined in the hospital and passed at 7am the same day. R1 was a resident in memory care. They were independent with mobility, toileting, eating, and able to effectively communicate. LPA obtained a copy of R1's care plan and physicians report. LPA requested a copy of R1's death certificate when available. No deficiencies cited. Exit interview conducted. A copy of this report was provided to the facility.