Complaint·January 20, 2026

Four (4) out four (4) staff reports, Resident #1 (R#1), who is known to be ambulatory and smokes, was returning to the facility after smoking, when he grabbed hallway side rails and began kneeling down. Upon being questioned by night shift staff, R#1 fell to the ground and appeared pale. Staff called 911, and while the ambulance was en route, R#1 stopped breathing. Following instructions from the 911 operator, staff initiated CPR. Paramedics arrive but was unable to revive R#1. Staff promptly informed family, police and death have been reported to the CDSS-CCLD. LPA Singh concluded that there was insufficient evidence to prove the allegation that Due to lack of staff, resulted in un-witnessed fall and resident sustaining injuries. Based on the evidence found during the investigation, the allegations listed Due to lack of staff, resulted in un-witnessed fall and resident sustaining injuries, is deemed UNSUBSTANTIATED . A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Facility manager/LVN-Melissa Bridges.