Follow-up·July 5, 2022

On July 5, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case management visit to follow up on Death Report submitted to CCL Office on 6/28/22. LPA met with Activities Director, Kathleen Sullivan and explained the purpose of the visit. The Licensee reported on June 22, 2022, Resident 1(R1) was found in the bathroom floor faced down. According to the Licensee, R1 tried to ambulate with his/her walker but lost balance. R1 was found by a Med-Tech and was transported to the hospital shortly thereafter. During the visit, LPA observed R1's room, reviewed R1's file, and interviewed staff members. According to file reviewed and staff interviewed, R1 is an assisted living resident and has been a resident at the facility for 3 years. Interviewed staff indicated that R1 does not have a falling history and will call for help when he/she needed anything. According to interviewed staff, the day of the incident, R1 was alert and responsive during breakfast around 8:30am and at 10:20am, staff responded to R1's call. According to the Med-Tech who was present at the time of the incident, between 11:15am and 11:30am, R1 was found on the bathroom floor mumbling and semi-responsive. Med-tech immediately called 911. Facility records document that R1 is an assisted living resident and did require assistance with daily living activities, however R1 was able to express himself/herself. According to staff, assisted living residents get checked on every meal time unless resident's notify staff otherwise. No findings of foul play or fault were found by the facility. No citations were issued during the visit.