Complaint Investigation Report

Regarding the allegation: Staff did not prevent residents from wandering from facility. It is alleged that the facility staff did not prevent a resident from wandering from the facility. Five (5) out of five (5) staff interviewed denied the allegation.

Interviews with staff revealed that resident #1 (R1) is not able to leave the facility unattended according to R1’s physicians’ report dated 5/8/25. R1 is accompanied by staff when leaving the facility for errands. R1 can leave the facility only when attended by staff or family. On 06/04/25, R1 was picked up by R1’s family and taken to the family home. When R1 did not return to the facility, staff notified of R1s POA of R1s absence. R1 was located via air tags installed on R1s person by R1’s POA. According to interviews with W1, R1 did not wander from the facility, R1 was picked up by R1’s family member and taken to the family home. Seven (7) out of eight (8) residents could not corroborate the allegation. Interviews with R1 revealed that R1 knows who R1’s POA is and R1 has never wandered from the facility without being accompanied by staff or R1’s family. R1 stated R1 was picked up by R1’s family members on 06/04/25 and returned to the facility on 06/05/25. R1 went to family member’s home for an overnight visit. Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

A copy of this report was given to Jennifer Zhang, Administrator.