Facility Evaluation Report

Licensing Program Analyst (LPA), Chinwe Nwogene, conducted an unannounced visit to the facility to conduct a case management visit to address an incident involving the death of Client One (C1). LPA met with Co-Administrator, Ivy Kasko who was informed of the purpose of the visit.

The Department received a verbal notification from the facility on 9/29/2022 regarding the client's death on 9/29/2022 at 4.30am. A subsequent death report has not been received according to Ivy Kasko. A Special Incident Report (SIR) was given to LPA details, on 6/15/2022 the resident was admitted to Tri-City Hospital for possible infection. Resident was discharged on 6/20/2022 to La Paloma Healthcare center for rehabilitation, antibiotic and IV treatment. Resident was back and forth ER and hospital admission due to declining health. On 8/26/2022 resident was admitted to Bridge Hospice care.

No information was received by the LPA to indicate there was any lack of care and/or supervision. No citations have been issued at this time. This report was reviewed with Ivy Kasko and a copy was provided.