Complaint·February 23, 2023

During tour of the facility on 10/15/2020, facility door alarms were determined to be functioning properly. LPA toured the facility and tested all the door alarms once more. All alarms were observed to be functioning properly. In review of staff training documents, it was determined that staff have received additional training regarding care for residents with dementia and wandering tendencies. In review of photographic evidence submitted by a witness and facility incident report written regarding the elopement, it is confirmed that R1 sustained a bump on their head as well as bruising around the eye during the period in which R1 was not on the premises. The Department has conducted an investigation of the above allegation. Based on interviews conducted and records review, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED . Deficiency is being cited. Civil penalty Assessed. See LIC 9099-D and LIC421IM. Exit interview conducted with Administrator Gladys Smart. A copy of this report, along with the facility's appeals rights were provided electronically due to printer error.