Incident investigation·September 23, 2025

On 09/23/25, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility to conduct case management visit follow up regarding an incident that occurred on 09/16/25 as facility reported on 09/17/2025. LPA met with Administrator Stephen MacDonald and explained the purpose of the visit. The visit was in response to a report from the facility regarding an incident that occurred on 09/16/25. According to the report, on 09/16/2025, at around 9:00PM, staff went to resident, R1s room to give their medication but found R1 to be unresponsive. The facility contacted local law enforcement and emergency services, but R1 was pronounced deceased approximately 09:38 PM by emergency staff. The facility notified all relevant parties involved regarding R1 passing. During the visit, LPA is requesting relevant documents related to the incident. All these requested documents shall by submitted via email to LPA Bains by 09/24/25 by 5PM. At this time, this incident is under review and the department will do follow up if warranted. Exit interview conducted and copy of the report left at facility.