Incident investigation·July 13, 2021

Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an unannounced case management visit at the facility. LPA gained access to the facility and identified herself to Resident Services Director, Corinna Norton and explained the purpose of the visit. The facility self reported an incident regarding Resident 1 (R1) (See LIC 811 Confidential Names) to Community Care Licensing on July 12, 2021. The facility reported that on July 07, 2021, R1 eloped the memory care unit and was found outside of unit. During today’s visit, LPA conducted interviews and obtains copies of resident records. No deficiencies were cited at this time. An exit interview was conducted with the Resident Services Director and a copy of this report, LIC 811 and Licensee/Appeal Rights (LIC9058 01/16) was provided to the Resident Services Director via email. An electronic receipt of confirmation was requested to be sent by the Resident Services Director upon receipt of the documents.