complaint·April 7, 2023

According to allegation, on December 17, 2022, R1 wandered away from facility which resulted in R1 falling and sustaining an undescribed injury. During interview with Administrator, it was revealed that R1 was moved into memory care cottage due to a change in medical condition as of June of 2022. Administrator revealed that R1 does not have a diagnosis of major neuro cognitive impairment. According to interview with staff present on the date of the incident, R1 was last seen during shift change at on or around 1:30pm in the gated outdoor area. Interview with staff established that R1 was not found during dinner service at on or around 5:30pm and staff initiated a search for R1. Interviews revealed that emergency personnel arrived at facility to collect a report on the same day of incident. Interview with Administrator revealed R1 was kept at hospital for observation and treated for a skin tear on the knee and minor bruising to the hands, as well as a possible infection. Based on LPA's interviews with staff, outside source interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Administrator Kandy Franklin, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.