Incident investigation·April 22, 2021

On 4/22/2021, Licensing Program Analyst (LPA) Jason Lund contacted the facility to complete a case management via telephone due to COVID-19 and pre-cautionary measures. LPA Lund discussed the purpose of the call with Assisted Living Manager, Alexis Alvarez. Current Census 90 On 4/12/2021 Community Care Licensing received an Unusual Incident/Injury Report regarding Resident (R1). R1 was on hospice since moving to the facility but was ambulatory and sociable. On 4/6/2021 R1 had an unwitnessed fall and was sent to the hospital with injuries to the head and hip. R1 was recovering from surgery and R1 family called and stated to the facility that R1 had passed away on 4/11/2021. R1 had no history of falls and death report will be emailed to LPA when available. Exit interview was conducted with Alexis copy of report provided via email due to COVID 19 precautionary measures, with a read receipt to verify it was received.