complaint·July 26, 2021

Allegation: Staff did not report resident missing in a timely manner. During today's visit, LPA interviewed the Med Aide/Designated Substitute/S-1 (covering for Facility Administrator), R-1 and reviewed R-1's file. Staff interview revealed that on 07/19/2021 at 9AM, R-1 signed-out of the facility for a medical appointment and to have R-1's cell phone repaired. Per staff interview, R-1's was admitted to this facility on 07/15/2021 and per R-1's Physician's Report, R-1 is able to leave the facility unassisted. Per Staff interview, R-1 is independent and was reported missing on 07/20/2021 at approximately 830 AM as R-1 was not answering R-1's cell phone. Per Staff interview, staff was informed on 07/20/2021 at approximately 10 AM (after Missing Person's Report filed) that R-1 was hospitalized as R-1 called 911 and asked to be taken to the hospital as someone in the community had "pushed" R-1. R-1 was discharged from the hospital back to this facility on 07/21/2021. R-1 confirmed the above noted information. There has not been any further incidents. R-1's file review revealed that staff made a Missing Persons Report within 24 hours. Special Incident Reports were also submitted to Community Care Licensing Division-Adult and Senior Care within Title 22 regulations/timelines. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted. A copy of this report and Appeal Rights were provided to Med Aide/Designated Substitute.