Follow-up·April 28, 2022

On 4/28/2022, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management visit concerning an incident that was reported by the facility. LPA met with the administrator, Iren Ludnay and explained the purpose of the visit. On 4/7/2022, the facility report an incident that happened on 3/29/2022 concerning resident #1 (R1) vomited in dining room after lunch. Staff #1 (S1) reported it to administrator who asked Staff #2(S2) to evaluate R1. S2 observed some mucus came out of R1's mouth and R1 was not responsive. S2 instructed administrator to call 911 while S2 was performing Heimlich Maneuver and eventually Cardiopulmonary Resuscitation (CPR). The paramedics arrived and continued with CPR then transferred R1 to the hospital where she passed away. During today's visit, LPA Han interviewed the administrator, tour the dining room and collected documents. This incident requires further investigation. This report is discussed and reviewed with administrator. A copy is provided.