Incident investigation·October 25, 2021

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit to follow up on multiple incidents. LPA was greeted by, identified herself to, and explained the purpose of the visit to Administrator Eleanor "LaTressa" Downing. The facility self reported Resident 1's (R1) elopement that occurred on 10/14/2021 (See LIC811 for Confidential Names List). Facility staff observed R1 walking outside the facility and escorted R1 back to the facility. The facility also reported two additional incidents that occurred on 8/20/2021 and 8/21/2021 respectively. During the visit, LPA interviewed and discussed the facility's Absentee Notification Plan with the Administrator and Director of Nursing. No deficiencies were cited during today's visit. An exit interview was conducted with Administrator LaTressa Downing, to whom a copy of this report and the Licensee Rights (LIC9058 01/16) were provided via email.