Dying cousin admitted to a subacute care facility. Rectal cancer and COPD ( 17 % lung function) We all know it is end of life. Day 1 & 2 she could sorta speak but was doped up with morphine, She kissed my hand on Tuesday. Got there Wed morning at 11 am nobody was around. I walked in and she was aspirating. I called her name she was not responsive, even after touching her arm, hand and forehead. I pushed the call button, walked to the hall and waited 1 minute for a person to show up ( it was fast to my surprise)I said she needs help she is aspirating . The gal was a CNA, and took one look at her and said I will be right back. (I took a picture of my cousins) She came back with a Nurse who looked at me and asked how long my cousin had been like this. I replied I just got here, I have no idea. It was 11 am . The nurse turned to get the suction kit and started to take care of it, the nurse got it cleaned up and out of her mouth. Then instructed the CNA to get her nurse. They all left the room. Yes she was struggling to breath but it was normal with her COPD. Then Her nurse comes in and does a small physical exam and says ok.. it won't be long now, I am going to call the family. I stayed the day with her husband and adult kids, around 1 pm I touched her wrist looking for a pulse there was none, Her carotid artery had no pulse either, I looked at the Hospice Nurse who then did an exam and she couldn't hear a blood pressure or find her pulse either, but she was still breathing. I told the Nurse, " I know what you know" and she nodded. I left at 5 pm to get dinner. I was not sure she would still be alive when I came back . I came back at 8 pm and there was no change. We got the call at 1 am that she had passed away. I have not told her husband of how I found her. Only my family knows. could this be something to look into , or should I just assume the facility was just understaffed. Yes some details are left out, but not many. The nurses hurried to clean up her shoulder, and back as the fluids had drifted down onto her back and shoulder. Her sheets and pillows and gown had to be changed. they hurried so family didn't see her in the condition that I did. I believe she had been like that for a long while before I came in. She was in Hospice care at the time. However nobody was there when I got there.