Facility Evaluation Report

Licensing Program Analyst (LPA), David Cuevas conducted an unannounced Case Management visit to facility regarding a death report received at regional office on 03/11/2022. LPA met with direct support staff, Talaysia who proceeded to call Licensee, Adrienne Walker who made herself available via telephone.

During case management visit LPA interviewed staff #1(S1) and reviewed residents #1 (R1)’s file.

Per interviews and available records resident passed away on 01/30/2022 at the Hospital in their Intensive Care Unit (ICU). Cause of death is unknown at this time, per S1, R1’s family were the ones receiving updates from hospital staff and failed to communicate cause of death to facility. Per S1, prior to death R1 went into the Emergency Room (ER) on 11/25/2021 for not being able to breath and stayed at the hospital until date of death on 01/30/2022 During visit LPA requested the following documents:

· Psychiatric Evaluation and Medical Notes/Orders