Follow-up on corrections·July 11, 2024

On 07/11/2024, Licensing Program Analyst (LPA) Brian Phillips conducted a case management-deficiencies visit to the facility above. During the visit, LPA Phillips met with Community Relations Director Sarah Kau as the Executive Director/Administrator of the facility was unavailable at the time, and explained the reason for the visit. During the complaint investigation of complaint # 29-AS-20240627081510, the following deficiencies were observed: There were no incident reports submitted for Resident #1 (R1’s) hospitalizations on 06/02/2024 and 06/11/2024 due to non-epileptic seizures caused by oral medications prescribed to R1 for cancer treatment in combination with radiation chemotherapy. There was no incident report submitted to Licensing on 06/12/2024 due to R1 being observed unresponsive and with no pulse by facility staff. There was no death report submitted for R1’s Death on 06/13/2024 while in the Critical Care Unit (CCU) of the hospital. R1’s representative was notified of R1’s hospitalizations and subsequent death. The facility acted appropriately in each instance to provide R1 appropriate medical attention. However, the licensee did not notify Licensing of the incidents or the death of R1. Exit interview, deficiencies cited, report given, appeal rights given.