complaint·March 20, 2023

During interview, Admin stated that the facility did not have any residents that were unable to leave the facility unassisted, however, during review of R1's physician's report, it was indicated that R1 was not permitted to leave the facility unassisted. Admin provided written correspondence with R1's family regarding R1's care at the facility. Text messages indicate that from dates ranging between September 2020 and December 2020, Admin had maintained consistent correspondence with R1's family, and had stated that R1's care needs, particularly as it pertained to wandering, have elevated beyond what the facility can provide, and indicated that both parties had been searching for alternative placement for that entire period, both parties had difficulty finding placement for the resident due to the COVID-19 pandemic. Since the elopement, staff has installed a wireless door alarm to alert staff of potential resident elopements. LPA observed the wireless door alarm to be operation during this visit. 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 records reviewed and interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED. Deficiency is being cited and civil penalty is being assessed. See LIC 9099-D and LIC421. This report was reviewed with Administrator Biao Zhang and a copy of the signed report was provided via email due to printer error.