Incident investigation·November 14, 2024

On 11/14/24, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with Executive Director, Jessica Sanders. On 11/6/24, the department received a Death Notification for R1's passing on 11/4/24 while hospitalized. The notification stated that R1 was sent to the hospital on 11/1/24, approximately 9 AM, for a "declining baseline". R1's death was not expected and R1 was not on hospice care. LPA requested and reviewed R1 records prior to this visit. LPA received additional records during this visit. LPA also conducted interviews of resident care director, memory care director and three caregivers. LPA requested additional records for R1- Initial hand written MAR and physician's medication orders. As a result of today’s inspection, no deficiencies were noted at this time. Report reviewed. Copy of report provided.