complaint·July 1, 2025

Interviews with Administrators indicated that Resident R1 has exit seeking behaviors which the facility was aware of at time of move in. Interviews indicated that staff continue to monitor R1 at all times and if exit seeking behaviors occur, one staff member will follow R1 to ensure safety while the other staff members stayed at the facility with other residents in care. The facility has protocols in place to ensure resident safety and document all incidents of elopement. All parties were notified during and after each elopement behavior. Documents reviewed indicated that facility was aware of R1’s elopement behaviors and had put procedures in place to redirect and calm R1 when the behaviors occurred. Interviews and documents indicated that R1 never left the facility unsupervised. Records reviewed and interviews conducted indicated that during the incident that occurred on 06/12/2025, R1 opened the front door and walked out of the facility during a behavioral episode. Staff were monitoring R1 during that time and one staff member followed R1 to ensure safety while additional staff stayed at the facility to oversee other residents and call administrators. R1 walked around the neighborhood with staff member. Staff attempted to redirect R1 but were not able to so they continued to follow R1. Eventually returned to the facility once an Administrator had arrived at the facility and was able to redirect R1. Based on records reviewed and interviews, LPA finds the above allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.