Complaint Investigation Report

The investigation revealed the following:

Lack of adequate supervision resulted in resident wandering from the facility on multiple occasions

All staff and residents interviewed stated that there is adequate supervision at the facility at all times. Staff denied the allegation and indicated that the R6 was independent and physician's report allowed R6 to leave the facility unassisted. R1-R2 stated that they knew of one resident that would leave the facility and get picked up by police on several occasions due to appearing disoriented, but that all residents were allowed to leave when they wanted to. R3-R4 stated that they did not know of any residents that wandered away from the facility and that residents are allowed to come and go independently. F1 stated that R6 often wandered away from the facility and should have been placed in a locked facility because of R6's mental capabilities. A review of the house rules states that residents can leave the facility, but must sign in/out, and observe curfew at 9 p.m. A review of caregiver's notes reveals that R6 did leave the facility on multiple occasions without observing house rules. A review of R6's physician's report reveals that R6 is ambulatory and is able leave the facility unassisted.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is Unsubstantiated.

An exit interview was conducted and a copy of this report was provided to the administrator.