Complaint Investigation Report

Allegation: “Questionable Death”, it is being alleged that Resident 1 (R1) passed away in the TV (activity) room without anyone noticing. Interviews conducted with S4, S5, and S11 (were witnesses to the incident) revealed the following: 3 out of 3 staff denied the allegation. Interviews conducted with W10 and W11 revealed the following: 2 out of 2 witnesses denied the allegation. Interviews conducted with R14 to R19 (were witnesses to the incident) revealed the following: 2 out of 6 residents denied the allegation. 4 out of 6 resident interviews were inconclusive. R1’s records revealed the following: R1’s Service Assessment Form dated 01/14/2025 indicated that R1 required full assistance in daily living. R1’s Unusual Incident Report and Death Report dated 07/12/2025 indicated that R1 was declining in health; R1 was seen earlier that day by Home Health around 9:30 AM; R1 was in the activity room and checked around 11:10 AM; R1 was in the dining room and checked around 12:09 PM and paramedics were called due to R1 being unresponsive; paramedics came to the facility and pronounced R1’s death. Based on the department’s interviews and records reviewed this allegation is unfounded. Unfounded: This agency has investigated the complaint alleging "Questionable Death." We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted, and a copy of this report was left with the Administrator, Heather Argueta and Resident Care Coordinator, Corina Kahl.