Facility Evaluation Report

On 6/03/24, Licensing Program Analyst (LPA) Albert Johnson made an unannounced case management visit. The incident on 5/21/2024 was reported to the department. LPA spoke with Digna Cabrera, Administrator.

LPA reviewed R1's incident report, R1 passed away unexpectedly. The department has requested copies of R1's file information.

R1 passed away on May 21, 2024, at 6:41 AM. Cause of Death according to the interim patient report from the AMR is Cardiac Arrest.

R1 does not have any family or relatives that the facility is in contact with to notify them of R1's death.

No deficiencies were cited during today's visit.