Follow-up·March 21, 2025

On 3/21/2025, Licensing Program Analyst (LPA) K.Kaur conducted an unannounced Case Management visit. LPA introduced self and explained the reason for the visit to Executive Director/ Administrator Amanda Kelsey. LPA arrived at the facility to conduct case management visit for death report for Resident (R1) dated 01/29/2025. LPA interviewed Memory Care Director Laureano Sanchez who stated death was unexpected. Ambulance and PD were contacted. Resident was admitted to the hospital on 01/26/2025 and discharged on 01/27/2025 with several Diagnosis and change to medication which was not implemented due to not receiving discharge papers in a timely manner. Primary doctor conducted a visit on 01/28/2025 and ordered medications however resident passed before they were received from pharmacy. No deficiencies sited during this Case Management visit. An exit interview was conducted with Administrator. LPA will review the gathered documents and return at a later time if necessary. Report signed on-site and a copy of report was provided.