In 2010, Mary Alexander (Ms. Alexander) became a resident at Lake City Nursing and Rehabilitation Center. There, she received assisted living services and care for her physical ailments. Lake City Nursing and Rehabilitation Center, LLC operated the facility during this time. Rex Road Property Company, LLC owned the center at 2055 Rex Road, Morrow, Georgia 30260. By January 2019, Ms. Alexander began showing signs of reduced oral and fluid intake. On January 16, her dietician noted that due to weight loss from poor intake, she required full assistance with feeding and became entirely dependent on staff. The following day, her oral and fluid intake decreased dramatically. On January 17, Ms. Alexander exhibited severe symptoms of sepsis, constipation, and dehydration. However, these symptoms were disregarded by the staff. The next day, January 18, her usual bowel movements stopped entirely. On January 20, Ms. Alexander refused all meals and fluids. That day, she experienced loose bowel movements due to overflow incontinence. By January 22, her oral and fluid intake remained minimal, and she had no bowel movements. Despite her physical therapy notes indicating she tolerated exercises well earlier that day, nursing notes showed she was unresponsive to verbal stimuli two hours later. There were no