Richard Simmons‘ cause of death has officially been classified as an accident due to a “ground-level fall,” according to a report from the Los Angeles County Medical Examiner. According to People, the report, which was issued on Thursday, August 29, lists Simmons’ cause of death as “sequelae of blunt traumatic injuries” that were caused by a “ground-level fall.” The document also notes “arteriosclerotic cardiovascular disease” as a “contributing condition.” The beloved fitness instructor died on July 13, a day after his 76th birthday. He was found at his home in Los Angeles, California, having suffered a fall in his bathroom the day prior and refusing to seek medical attention until the following morning. The star went to bed and was discovered unresponsive on the bedroom floor by his long-time house manager, Teresa Reveles, the next day. Per the report, Simmons also had “a fracture of the left femur” and “incidental bilateral renal cortical cysts and a gallstone.