Follow-up·January 26, 2024

Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management and met with Licensee Alex Varshavsky. The purpose of this case management inspection is to follow up on a couple death reports submitted to Community Care Licensing (CCL). On 1/16/24 CCL received a death report for resident (R1). Per death report, R1 passed away on 1/14/24 at approximate at 2pm while in the hospital. CCL received an incident report notifying CCL of R1's hospitalizations due to signs of congestion. R1 was previously transported to the hospital on 1/2/24 and discharged on 1/3/24. However, based on records review, R1 was not receiving hospice services when they passed away in the hospital. Responsible parties were notified. Also, on 1/14/24 at approximate 1:00pm, resident (R2) passed away while in the hospital. Per incident report, R2 was not receiving hospice services when they passed away. Responsible parties were notified. During today's visit, LPA conducted a visit to review records and follow up the unexpected death of R1 and R2. The investigation found the facility followed all regulation and training requirements. However, R1 and R2 were not receiving hospice services and deaths were unexpected so Licensee agreed to submit death certificate to CCL as soon as they receive it. No deficiencies found during today's inspection. Exit interview was conducted with Licensee and a copy of this report was given.