complaint·March 30, 2026

Staff did not prevent resident from wandering from the facility Interviews conducted indicated that Resident R1 enjoys walking inside the facility and around the neighborhood. Staff accompany R1 on their walks due to R1 not being able to leave the facility unassisted. Staff S1 and Licensee both indicated that R1 has not eloped from the facility and is always accompanied during outside time and walks. Records reviewed indicated that R1 is unable to leave the facility unassisted which is why staff accompany R1 on their walks around the neighborhood. When R1 moved in to the facility, they were able to leave unassisted but now due to R1’s diagnosis, R1 must be accompanied by a staff member. Therefore, the allegation staff did not prevent resident from wandering from the facility is unfounded. Facility failed to meet reporting requirements Interviews conducted with Staff member S1 and Licensee indicated that incident reports are being completed and sent to the Department when an incident has occurred at the facility. S1 and Licensee indicated their knowledge of when and how incident reports are to be sent. Records reviewed indicated that incident reports are being completed and sent to the Department. Incident reports are kept at the facility for review as needed. Therefore, the allegation facility failed to meet reporting requirements is unfounded. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.