Incident investigation·September 18, 2023

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced Case Management - Incident Visit to follow up on a LIC624A Death Report received by the department on 09/11/2023. LPA met with Johnna Uddeh - Assistant Administrator and explained the reason for the visit. On 09/11/2023, the department reviewed a copy of LIC624A for Resident #1 (R1) along with a copy of the Death Certificate, which indicated R1 passed away on 08/22/2023 at 07:40 am. R1's Death Certificate listed the sequential causation of the immediate cause of death as follows: severe sepsis, pneumonia Organism unspecified that led to Acute respiratory failure, which was the immediate cause of R1's death. At approx 10:00am, LPA conducted physical plant, interviewed staff as well as reviewed and obtained pertinent documents relevant to the investigation. LPA did not observe any immediate or potential health and safety concerns at this time. The LPA has determined further investigation is needed and will return at a later date to complete the investigation if warranted. Exit interview conducted and copy of report issued.