Follow-up·April 12, 2023

On 4/12/23, Licensing Program Analyst (LPA) Kevin Mknelly,conducted an unannounced inspection . LPA met with Licensee and explained the purpose of the visit. The purpose of this inspection was to follow-up on incident report and death notification, received on 4/7/23, for incidents 4/1/23 and death on 4/3/23. LPA conducted an inspection and observed residents to be assisted as needed. Interview was conducted with licensee and caregiver. On 4/1/23 R1 called for assistance on three occasions and was found on the floor. On the instances R1 reported to have no injuries and denied needing medical care. On 4/2/23, R1 was at baseline with no decrease in function and no increases in pain. On 4/3/23, R1 signed out of the facility at 10:50 am for a supposed Dr. appt. By report of the friend, there was not an actual Dr. appt. scheduled for 4/3/23. R1's friend returned with R1 at approximately 5:50 and informed caregiver that R1 was unresponsive in the friend's vehicle. Emergency responders were notified, CPR was administered. Emergency responders pronounced R1 deceased. The death does not appear related to the falls of 4/1/23 at this time. LPA asked that licensee resubmit the death report and ID/ Emergency form. As a result of today’s inspection, no deficiencies were noted. This report was reviewed and copy provided.