complaint·May 14, 2025

LPA conducted an unannounced visit to the facility on 04/02/2025 and observed the facility entrance and emergency exits were free of obstructions. Based on file review, the facility’s license permits for locked perimeters per the local fire jurisdiction. LPA observed this is being observed with locked exterior gates and locked door leading to residents rooms, bathrooms and dinning area. LPA interviewed (5) residents. Interview with R1 revealed staff do not allow them to leave the facility. Interview with (4) residents revealed they are allowed to go out into the community with permission from their doctor or with assistance of visitors. LPA interviewed (4) staff who revealed some residents are allowed to leave on their own, while others must be accompanied by a family member. (4) of (4) staff revealed this is based on the resident's medical assessment by their doctor. (4) of (4) staff revealed R1 is able to leave with family or friends and stated that on the week of 05/05/2025 R1 left the facility with visitors and returned. R1's physician's report dated 01/29/2025 revealed R1 is unable to leave the facility unassisted. LPA reviewed the Resident Sign out Log which revealed resident sign out when assisted by visitors, and some residents are able to sign themselves out. On 05/01/2025 R1 signed out to go to the store at 11:50am. Therefore, the allegation that R1 and other residents cannot come and go as they please and are being locked into the facility is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.