Incident investigation·October 20, 2025

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management visit in regards an incident report, which stated a resident had eloped from the facility. LPA's met with Business office director Brianne Merritt. LPA's explained the purpose of the visit. On October 16, 2025, the Department received an incident report from the facility. The incident report stated, on October 15, 2025, around 7:20pm, medtech noticed R1 was not in their bedroom. After double checking the room, medtech alerted staff and initiated a thorough search of the community. The resident was located outside the community by a care giver and was safely escorted back inside. No visible injuries were observed upon return. During the visit LPA interview 4 staff. LPA requested staff schedule for October 15, 2025, and a copy of R1's care plan prior to October 15, 2025. LPA determined this incident requires further investigation. This report was reviewed with Brianne Merritt. A copy was provided.