Incident investigation·February 6, 2024

On 02/06/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - incident visit regarding an incident report received on 02/05/2024 and discussed with administrator Ricardo on the same day. R1 left the facility on 02/04/2024 around 5:00pm but didn't return back to the facility by 7:30pm so the facility began to search the neighborhood by car as the weather was bad due to the storm that hit the area. Staff physically went to the local hospitals, hotels, and the church R1 regularly attended every Sunday. By 10pm R1 had not returned to the facility so the facility filed a missing person report with the police department on the same day. On 02/05/2024 by around 11:00am the police department and coroners office visited the facility and informed them that R1 had passed away near the facility. R1 was struck by a vehicle that did not stop at a crosswalk during the stormy weather and the traffic lights were out due to power outages in the area. The facility did not suffer from a power outage. Staff was able to positively identify that it was R1 per the physical description provided to the facility. Administrator provided LPA with resident documents on this day and discussed the timeline of events and indicated that responsible parties were notified,the Department, including the local Long Term Care Ombudsman as well. Administrator stated the police department and coroners office did not provide report numbers or death reports to the facility at their time of visit on 02/05/2024 as the death is still under investigation. Report is reviewed with administrator Ricardo.