Reality TV star Denise Russo’s cause of death has been confirmed by the San Diego County Medical Examiner’s Office as an accidental overdose of methamphetamine and fentanyl.

Her death was first revealed on March 10 by the same office through a press release. It stated that Russo, who once starred on the show The X-Life, was found “unresponsive on the floor while at a friend’s home” on March 5. 911 was immediately called and when first responders arrived they attempted to revive her through “aggressive attempts at resuscitation” but were unsuccessful. It also noted that “drug paraphernalia was located on scene.”

She was reportedly homeless at the time and was living in her car.

Russo’s former cast member Susie Stenberg recalled Russo as a loyal and caring person. She posted a tribute on her Instagram story to Russo writing, “More loyal than most! I’ll miss you sweet friend Rip.