On 2/23/13, a 40 year old resident committed suicide by placing a rope around his neck and hanging himself. Several days prior to his death, on 2/17/13, the resident had attempted to kill himself in his room by putting the curtains around his neck. The facility had placed him on 1:1 supervision until the day after the original suicide attempt, then on 15 minute checks until 2/21/13. There was no plan of care for suicide prevention at the time of his death on 2/23/13 and the facility had not developed specific interventions to prevent the resident's suicide. The facility was cited for failing to provide adequate supervision and services to prevent the resident from committing suicide, including its failures to revise his care plan after the first suicide attempt and to ensure his environment was free of dangerous items.