Complaint·October 24, 2024

[Continued form 9099] It was alleged that lack of supervision resulted in residents [R1-R3] eloping from the Assisted living unit of the facility as well as residents from the memory care facility. A review of facility records reveals there are currently four residents (R1-R4) that reside in the assisted living portion of the facility with a diagnosis of dementia, and they are unable to leave the facility unassisted. Interviews with staff reveal inconsistent accounts of elopement in the assisted living wing of the facility, regarding R1. Interviews with staff reveal (R2-R4) do not have exit seeking behavior and staff has not observed exit seeking behaviors. Record reviewed showed that internal investigation of a recent elopement incident was conducted, and LPA interviews and record reviews revealed the facility had in place an Absentee Notification Plan/Policy and followed the policy procedure. LPA toured the facility four times over the last three months and observed the delayed egress alarm system in the memory care unit of the facility. The annual inspection visit conducted in February 2024 also indicate delayed egress alarms working. LPA observed the alarm is operational and interviews reveal staff respond appropriately to the alarms when triggered. It was alleged that the Licensee did not meet personal care needs for residents in the memory care unit by not receiving bathing assistance from staff which resulted in residents smelling bad. LPA conducted observations on four (4) visits in the past three (3) months in the memory care area of the facility. LPA did not notice any malodorous in the memory care unit nor did the residents in the memory care unit have a smell of incontinence. LPA observed residents were sitting in the memory care unit common room, and all looked clean and well taken care of. LPA was accompanied by S1, who toured the facility. LPA also interviewed two outside sources that frequent the unit and confirmed they have not witnessed residents smelling bad and have observed frequent bathing for all residents. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations were deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) was provided to Resident Service Director Maureen Manzon whose signature below confirms receipt of these rights.