complaint·January 27, 2022

The residents also have chaperones when they leave the facility, and chaperones can be the power of attorney (POA), a family member, or caregivers from the facility. Third party transports are also used to pick up and drive residents to their appointments. However, drivers must have a chaperone to advocate for the resident. The resident appointment is indicated on three calendars located in three different areas in the facility. All staff members can review the calendars, thus are aware of resident appointments. The staff also utilize a phone application to organize and illustrate resident appointments. According to the administrator, resident 1, (R1’s) daughter emailed the administrator about R1’s doctor’s appointment at 12pm. Then the administrator received a follow up text message from R1’s daughter stating that the appointment had been changed to 10/05/2021 at 1:45pm. The text message also indicated that R1s second daughter will be joining R1 and the third-party driver. According to the staff members at the facility on 10/5/21, the driver arrived early at the facility around 11:45am. The driver was screened, checked in and asked to wait on the patio for R1. Staff member 1 (S1) stated they were unaware of the doctor’s apportionment on 10/5/21 but was notified that the driver was waiting on the patio for R1. S1 brought R1 to the driver and then S1 went back inside the facility. The second daughter arrived late at the facility around 12:15pm and was looking for R1. The administrator immediately called the driver and had them return to the facility. The staff stated there was a miscommunication between S1 and the driver and as a result the driver took the resident without a chaperone. According to the administrator, the facility would never let R1 attend appointments alone. R1 is nonverbal and has dementia. The Administrator provided the LPA with a copy R1s physician report. LPA reviewed R1s physician report and it indicates that R1 is unable to leave facility unassisted. All verbal residents stated that they are accompanied by someone during outings. Based on the interviews and records reviewed, On the allegation: Staff allowed resident to leave the facility with an unauthorized person is deemed substantiated at this time. Exit interview, report given.