Incident investigation·April 12, 2024

Licensing Program Analyst (LPA), Amy Domingo, conducted an unannounced Case Management visit. The LPA introduced himself and disclosed the purpose to Marketing Director, Dayna Farris and Med Tech, Jessica Ortiz and later with Lori Hansen Senior General Manager. Today's visit was in response to an Incident Report submitted to the Department, for Resident 1 (R1). [See LIC 811 Confidential Names List for a description of R1]. R1 sustained a fall on 04/02/2024, was transported to the hospital and passed away on 04/02/2024. The LPA conducted a tour of the facility and secured pertinent records. No health and safety concerns were identified and no deficiencies were cited during today's visit. An exit interview was conducted with Senior General Manager Lori Hansen, to whom a copy of this report, and the Licensee Appeal Rights (LIC 9058 03/22) were provided.