Follow-up on corrections·April 16, 2025

On 04/16/2025 Licensing Program Analysts (LPA) Holly Williams arrived unannounced to conduct a case management visit. LPA Williams met with the Health and Wellness Director Brittany Ragan who was briefly interviewed at this time. LPA Williams received a incident report stating there was an elopement on 04/09/2025. Based on interviews and record review, it was learned that at 6:30 AM the resident (R1) was found off property at a nearby cross street. In an interview, S1 stated that R1 was found wandering at 4 am in the facility and was redirected. In an interview, S1 stated that S2 heard the alarm, opened the door, went out and looked for anyone that might have gotten out, reset the alarm, and came back in. In an interview, S3 stated that the alarm was not working and that sometimes they could push the door between room 37 and 38 open. In an interview, S4 stated that the alarm was broken and was fixed on 04/10/2025 or 04/11/2025. According to the medical assessment, R1 is not able to leave the facility unattended. LPA Williams was in a resident room and observed a strong urine odor and dirty towels on the ground. LPA Williams was standing next to the bed and as LPA Williams moved aside LPA Williams leg touched the blanket hanging off the bed and then felt something wet on the LPA's leg. There was a large wet urine spot on LPA's leg. LPA Williams observed the bed and blankets to be full of urine. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated representative at this time. Exit Interview