Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on a death report submitted to the department on 04/21/2026. LPA was greeted and granted entry into the facility and explained the reason for the visit.

Death report dated 04/20/2026 indicated Resident 1 (R1) had fallen in the resident's apartment and the fall activation device was activated. The facility safety team responded and 911 was called. Resident was sent out to Mission Hospital via paramedics where the resident was declared deceased at 1:00 PM. R1's family indicated the resident had a brain bleed. Per Resident's service plan dated 12/29/2025, Resident is independent of activities of daily living and not considered a fall risk. Resident is self responsible. Per physician report dated 08/02/2021 resident is diagnosed with Diabetes Mellitus 2. Administrator to forward a copy of the death certificate upon receipt.

During the visit, LPA observed and spoke with residents in the facility. Residents expressed satisfaction with facility services. LPA observed no health or safety concerns during the visit.

Exit interview conducted and a copy of this report was left at the facility.