Facility Evaluation Report

01/16/2026 10:30 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with Executive Director Grace Hawkins. Today’s visit is regarding an incident that occurred on 07/07/2026 and was reported to licensing on 07/08/2026.

It was reported that on 07/07/2026 06:40 PM Resident 1 (R1) was last seen in the facility hallway walking. Overnight, staff believed R1 was in their room because their door was closed after the shift change as is customary during nighttime hours. Staff did not discover that R1 was not in their room until approximately 5:00 AM on 07/08/2026. Staff immediately initiated the facility’s elopement protocol. Law enforcement, responsible party and administrator were notified. At 9:30 AM on 07/08/2026 law enforcement located R1 at Enloe Hospital which is located 24 miles from the facility. Resident sustained no physical injuries as a result of the incident. Facility staff picked up R1 from the hospital and transported them back to the facility at 2:00 PM on 07/08/2026.

During the course of the investigation, it was learned that R1 exited the facility via secured exterior door and exited the secured backyard area. It is unknown how R1 managed to exit the facility grounds. It is unknown how R1 ended up at Enloe Hospital.