1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) R. Campbell and LPA T. White conducted an unannounced Case Management visit on this date and met with House Manager, Ashley Struther. The case management visit pertains to an incident report and a death report submitted to CCLD on 06/25/2022.
Based on incident report, on June 21st, 2022, Client #1 (C1) had two sudden bowel movements in the living area of the facility. When staff attempted to help him shower, he began to expel yellow fluid from his nose and mouth. After C1 became unresponsive, staff-initiated CPR until emergency responders arrived.
Based on Staff #1 (S1) interview, C1 had been away from the facility for one month. C1 had first been to St. Joseph’s Hospital for two bowel reconstruction surgeries and later went to a Skilled Nursing Facility (SNF) for recovery. C1 was on a low sodium diet of pureed food and ensure on the day of his death. Documentation shows C1 had a history of issues with bowel movements. C1 passed within 24 hours of returning to the facility. Per S1's observation, C1 was not ready to return home. While in the hospital, C1 was weak and those who sat with him in the hospital stated C1 did not want to drink water and his general behavior was different from baseline.
Based on documentation, C1 was admitted to the hospital on 06/13/2022 and discharged from the hospital on 06/20/2022. C1 passed on 06/21/2022. C1 had a history of irregular digestion and bowel movements. Based on information provided, LPA may decide to visit at a later date. No deficiencies cited at this time. Exit interview conducted with House Manager and a copy of report given.
|