Incident investigation·November 6, 2025

At approximately 1:45 p.m. on 11/06/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with the administrator and disclosed the reason for the visit. Today’s case management visit was conducted because of an incident report submitted by the facility which indicated Resident #1 (R1) left the facility around 6:00 a.m. on 10/20/25. Interview with the Administrator at 2:15 p.m. today revealed the facility has followed up with the police every few days and heard no updates on R1’s whereabouts. Record review of R1’s medical assessment and emergency contacts revealed R1 is self-responsible, able to follow instructions, and had no mental or developmental health diagnoses. Also, R1’s physician did not indicate that they could not leave the facility without assistance. Based on interviews and record review, the facility provided sufficient supervision to R1 based on their care needs. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.