INC-1038

highclosed

Choking / aspiration risk event

Ava Ramirez · Maple Street Home · Maple Street Home — kitchen

Closed with all requirements evidenced. The record is retained immutably for audit.

Incident facts

Occurred

Sep 10, 09:12

Reported

Sep 10, 10:12

Reported by

Devon Carter

Owner

Nurse / Clinical

Witnesses

Devon Carter, Priya Raman

Linked service event

Description

Individual coughed persistently during meal; aspiration precautions reviewed.

Immediate action taken

Meal stopped, positioning corrected, nurse assessment completed.

Root cause

Mealtime texture plan not posted at point of service.

Action	Owner	Due	Status
Post mealtime texture plans at point of service	Priya Raman	Sep 04, 2026	complete	Verified

Immutable record of every action on this incident

Timestamp	User	Action	Old → new	Reason

Closure is blocked until every item is evidenced

Recipients and windows derived from the matching rule

Rule

High-severity incident external notification

Trigger

Incident severity = High or Critical

Window

24 hours from report time

Escalation

Escalate to QA Manager at 75% of window

Notify

Program Manager, QA / Compliance, Executive