Incident investigation·April 30, 2024

While conducting a complaint visit on this date, Licensing Program Analyst (LPA) Chris Arnhold followed up on an Unusual Incident Report regarding an incident that occurred on 04/05/2024. Resident (R1), was seen walking to an activity at approximately 3:00PM on 04/05/2024. At approximately 3:15PM, R1 was observed by staff at the facility. At approximately 3:25PM, Sonia Sandoval, Business Office Manager, received a telephone call from Ukiah Post Acute, a medical facility next door to this facility, asking if R1 was from the facility. A staff member immediately went to retrieve R1. LPA reviewed facility files and observed the initial assessment for R1 did not list any wandering behaviors and the physician report stated R1 was able to leave the facility without assistance. Upon the return of R1, facility updated residents care plan and placed resident on frequent checks. LPA observed facility followed regulation and updated the care plan when observed changes occurred. No citations issued as a result of this incident.