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staff had moved mrs cavanagh's body before a doctor had pronounced her dead and before informing the coroner's office. .
mr mcgurgan said that mrs cavanagh "died alone" after suffering a terminal collapse and fell from her bed while "the cot sides were down".
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the report "correctly points out that there really was no playbook for dealing with what was an unprecedented health crisis," san diego mayor kevin faulconer said.
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