Facility Evaluation Report

On 10/12/23, Licensing Program Analyst, LPA Alfonso Iniguez conducted a Case Management visit to follow up on the death reported for Client #1 (C#1). LPA was greeted by administrator/ Kim Post who explained the purpose of the visit was to gather information surrounding the death of (C#1).

The Regional Office received a copy of the death report from the facility and reported the death of (C#1) on 10/7/23. The death report stated that (C#1) was admitted to Kindred Sub Acute on 09/08/23. (C#1’s) G tube was placed 10/5/23. Facility staff were able to sit with (C#1) daily 9am-11pm. According to facility staff on 10/07/23 (C#1) was doing well during his shift 8am - 8pm. By 11:35 pm he was unresponsive. According to the nurses at Kindred, they went in to do a blood sugar check and noted (C#1) had vomited and was unresponsive. A code was called, and resuscitation efforts failed

· Physician Report for Community Care Facilities

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies therefore no citations were issued at this time.

An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Kim Post/Administrator.