John Alfred Beasley, aged 79, died of cardiovascular degeneration at Resthaven aged care facility on 16 August 2012. He had multiple chronic conditions including Type 2 diabetes, hypertension, cerebrovascular disease with multiple prior strokes, dementia, and dysphagia. He was under court-ordered supervision at the facility following an unfitness to stand trial determination. Medical care was provided by Dr V. visiting every 6-8 weeks. In the 12 months before death, Mr Beasley's health deteriorated with decreased mobility. He was found deceased in bed during routine morning care. The coroner found his death was natural, his accommodation appropriate, and his custodial circumstances did not contribute to death. No clinical errors or preventable factors were identified.
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