Incident investigation·September 24, 2025

On 9/24/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit in regards to an incident report received by the Department on 9/19/2025 in which a resident eloped while in the community. LPA was greeted by Peter Nixdorff, Executive Director and explained the purpose of the visit. LPA toured the physical plant. All exit doors and door alarms were observed to be fully operational. In addition, LPA conducted interviews. Based on interviews, R1 was attending a medical appointment under the supervision of R1's responsible party when R1 was able to elope. Peter Nixdorff, Executive Director called the police, local hospitals, and other locations to locate the resident but R1 has not been found at the time of the visit. No deficiencies cited during today's visit. An exit interview was conducted. This report reviewed with the Executive Director and a copy of the report provided to facility representative.