Incident investigation·August 1, 2023

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced case management visit and was greeted by staff. LPA stated the purpose of the visit. An incident report was received on 7/23/2023 stating a resident (R1) had exited out of memory care wing through the resident's room. The night-shift staff conducted a bed check at 5:00 am and reported the resident was in their room. The day shift staff conducted a bed check at 6:20 am and found the resident was not in the room. Staff immediately searched for R1 and discovered R1 had pushed open the window and the screen had also been pushed out. Staff immediately began the search procedures which included checking the entire building, outside area, each resident's room, and staff drove within the neighborhood searching for the resident. After completing all the search steps, 911 was called at 8:20 am and the police arrived 9:10 am. Flyers were distributed throughout the area. Police has conducted a thorough search for the resident. Staff has contacted all hospitals within the area to continue the search for the resident.. Police have kept in contact with facility staff. Staff also called the former DHS case manager and received the brother's contact information. Staff immediately called the brother but brother did not return the call. On 7/26/2023, R1's brother called and stated R1 is fine. R1 asked brother to call the facility to let staff know R1 is fine and did not return to the facility. Facility staff called R1's brother to find out how to reach R1 and find out where R1 is living. However, R1's brother has not returned the staff's phone call. The police officer was contacted and was provided with the contact information. There are no deficiencies to report at this time. Exit interview conducted, and a copy of the report was given to staff member.