Follow-up·January 2, 2025

On 1/2/25, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit and met with caregiver. LPA and caregiver notified administrator Okki Kim, who arrived to assist. On 12/1/24, the department received a death notification for R1's passing on 12/1/24. The report stated that R1 awoke in the morning and was at baseline. Declined lunch due to a headache. R1 spoke with family by phone at approximately 2 PM. At approximately 3 PM R1 was checked by staff and R1 reported to staff the "I'm okay". at approximately 4:30 PM a noise was heard and R1 was found, by S1, to have fallen on the way to the bathroom. R1 was found unresponsive 9-1-1 was called, CPR was performed and EMS was unable to revive R1. LPA received and reviewed records for R1 prior to today's visit. LPA inspected R1's prior bedroom. R1 ambulated with a walker. The distance from R1's bed to the bathroom is approximately 8 feet. The walker was found near R1 in the bathroom. Caregiver (s1) who was present when R1 fell is not present today. LPA received caregiver's contact information. As a result of today’s inspection, no deficiencies were noted. Report reviewed. Copy of report and appeal rights provided