Follow-up·May 13, 2022

Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management visit. LPA Williamson identified herself and was granted entry by the receptionist. LPA stated the purpose of the visit and reviewed the basic elements of the visit with Sadie Harness, Administrator. On May 12, 2022, the facility reported a resident death regarding Resident 1 (R1) (See LIC 811 Confidential Names List) to Community Care Licensing. The facility reported that on May 11, 2022, R1 was found in the bathroom on the floor unresponsive. The facility staff contacted 911, and R1 was transported to the hospital at around 6:30 AM., where she was pronounced deceased on May 11, 2022 at around 4:15 PM. During today's visit, LPA briefly toured the facility, conducted staff interviews, and requested and obtained records. No deficiencies were cited during the visit. An exit interview was conducted with Sadie Harness, Administrator and a copy of this report, LIC 811 and Licensee Appeal Rights (LIC9058 01/16) were provided to the Administrator.