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25 | Licensing Program Analyst (LPA) Amy Goldenberg Conducted an unannounced case management visit to conclude this agency's inquiry into the questionable death of a resident (R1). LPA met with Health and Wellness Director Blasia Lee-Lole to disclose this agency's findings.
The department investigation included file review, interviews with staff/residents/witnesses, and collecting pertinent records.
Allegation #1: Interviews and record reviews conducted by the department revealed that R1 fell from the third story balcony between the dates of May 11 and May 13, 2020. R1 suffered an accidental fall from the third story balcony onto the planter area in the center of the facility courtyard. The fall was witnessed by a resident sitting at the balcony across from R1’s balcony. The Coroner determined the death as an accident and cause of death was multiple blunt impact injuries. The evidence that was collected showed that R1’s accident was not a result of lack of care.
Based on the investigation the allegation questionable death due to lack of care is unfounded. The department has found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis.
This report was reviewed with and a copy was provided to the facility representative. |