Facility Evaluation Report

Licensing Program Analysts (LPAs) Hanna Gough, Nancy Guillen and Licensing Program Manager Sheila Santos were notified of a death that occurred while conducting the annual visit today.

Per staff Samantha, R1 passed away today and was under hospice care. Mortuary arrived to pick up R1.

Facility provided a death report LIC624A at the time of our visit. Per death report, death was caused by natural causes, cardiac arrest.

An exit interview was conducted and a copy of this report was explained and provided via email due to printer error.