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32 | [Continued from LIC 9099]
R1 is a resident at the facility with a diagnosis of Dementia, along with multiple other diagnoses of conditions that affect R1's mental health and cognitive functioning. Per R1's medical assessment, conducted October 2025, R1 is unable to leave the facility unassisted. R1 had been residing at the facility for over four (4) years under the current ownership that acquired the facility back in 2022.
Community Care Licensing (CCL) had received an incident report from the facility on 5/19/26 of the incident where R1 had eloped from the facility a few days prior on 5/15/26. Per the report, it is noted that one caregiver was assisting another resident and another caregiver was completing medication documentation at the medication desk and neither heard the door alarm activate when R1 exited the facility. It is noted that R1 was last seen watching tv in the living room area. Per the report, Staff searched the facility and surrounding neighborhood, then subsequently contacted law enforcement for assistance. Just over an hour later, the facility received a call from an individual who found R1 about 0.8 miles away from the facility and noted scratches and abrasions to the face and both knees. R1 was taken to the hospital for evaluation and returned to the facility same day with no serious injuries.
Staff interviews corroborated the events detailed in the report received by CCL, with multiple staff revealing that R1 had wandering behaviors within the home and yard, but had never been exit seeking from the property until this recent incident. It was corroborated by all staff that R1 enjoyed walking. Two (2) staff interviewed indicated that R1 had only ever left the facility before with direct staff supervision, and another indicated that R1 would communicate with staff when they were wanting to go on a walk. Interviews with staff present during the elopement incident revealed that they had last heard R1 laughing while watching tv in the living room just minutes before realizing R1 was no longer there.
Interviews with outside sources responsible for R1's care corroborated that this was the first incident they were aware of for R1 displaying eloping/exit seeking behaviors at the home. These interviews also revealed no concern with the facility's ability to supervise and care for R1 thus far, and indicated they felt the facility responded to the incident appropriately. Interviews with residents revealed no concerns about their care, staffing numbers, or staff response times.
[Continued on LIC 9099-C] |