Complaint Investigation Report

Additional visiting hours before or after these hours will be accommodated with prior arrangements being made with the office.”

R1’s Death Report was submitted to the Department on 08/16/2023 and states R1’s date and time of death as 08/14/2023 at 9:30 PM.

The facility visitation log states that R1’s Family Members, F1 and F2, visited the facility on 08/14/2023 at 9:35 AM and at 3:30 PM.

During interview, Reporting Party stated Administrator verbally agreed to allowing Resident’s family to visit from 5PM-7PM each day.

During interview, Administrator stated to have communicated with Resident’s Responsible Person that facility visitation hours are from 10AM-4PM and family usually visits for 1-2 hours. Administrator stated Resident R1's family members would stay from 10 AM, then lunch, and come back from 1 PM to 6 PM. Administrator stated the family visits outside of normal visiting hours were interfering with the care of the resident. Administrator stated to have discussed the visiting hour policy with R1’s family members multiple times.

Administrator stated during interview that on the day Resident passed on 08/14 at 9:30 PM, Administrator noticed at 6PM that Resident was visibly taking shorter breaths and notified Resident R1's family and hospice. Administrator stated to recall that F1 and F2 arrived at the facility after Administrator called F1 to notify F1 that R1 was near death. Administrator stated F1 and F2 arrived at the facility, but does not recall at what time exactly they arrived. Administrator states F1 and F2 both visited R1, but does not recall the duration that they visited R1. Administrator stated F1 and F2 told Administrator that they would be leaving to go to dinner, and F1 and F2 never returned that night. Administrator stated R1 passed away at 9:30 PM and hospice didn’t arrive and pronounce R1 deceased until 11:30 PM. Administrator stated F1 arrived at the facility sometime in the afternoon on 08/15/2023 to pick up R1’s belongings.