Incident investigation·June 23, 2022

On 06/23/2022, Licensing Program Analyst (LPA) T. White conducted case management visit regarding incident submitted to CCLD on 06/22/2022. LPA spoke with Administrator, Debbie Loesch and explained the purpose of the visit. Based on incident report, Resident #1 (R1) returned to the facility on 06/15/2022, less then 24 hours later was sent to the Emergency Department. R1 was found with blood in her depends. R1 was not at baseline. Administrator informed R1's family member. R1 passed away on 06/16/2022. Based on interview with Administrator, R1 was taken to the hospital on 05/21/2022 regarding a fall. R1 stated she was sent to a Skilled Nursing Facility (SNF) for rehab following the hospital visit on 05/21/2022. Administrator stated, R1 returned to the facility the afternoon of 06/15/2022 from SNF. R1 was sent to the hospital the morning of 06/16/2022 due to bleeding in R1's depends. Based on documentation,R1 was admitted to the hospital on 05/21/2022 and was discharged from SNF on 06/15/2022. No deficiencies cited during inspection. Exit interview conducted with Administrator and a copy of report given.