Facility Evaluation Report
On 11/9/2023 at 2:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Case Management visit in regards to death report received on 10/10/2023. LPA met with Administrator, Alicia Johnston.
LPA received death report on 10/10/2023 for resident (R1). Death report stated that resident was breathing slow, shallow, and profusely sweating. Staff called 911 and R1's daughter. Paramedics and R1's daughter arrived. R1 had a DNR.
LPA interviewed staff who stated that R1 was on hospice for three years prior to moving to the facility. R1 had graduated out of hospice care and was not admitted back to hospice. LPA reviewed R1's file and observed that R1's diagnosis includes end stage dementia and history of stroke. R1 had a DNR.
No deficiency is being cited on this date.
Exit interview conducted. A copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction