Complaint Investigation Report

The investigation revealed the following, regarding the allegation that a resident AWOL’d from facility , the administrator and staff stated that residents can leave the facility unassisted if physician or health professional states that they are able or if facility Administrator assess resident capable of leaving unassisted.

S1 stated that on 04/18/22am R1 signed out at 9:17am, R1 left the facility and stated he was going to Department of social services. S1 stated that S1 waited 24 hours then called police to file a missing person report. Police called facility and they provided facility with an address of where R1 was going to be going after the park. R1 stated to police R1 would return to facility on own. R1 returned to facility on 04/24/2022 and on 04/26/22 was sent to hospital for stomach pain. S1 stated that R1 was drinking and refused to return to facility.

A review of R1's physician's medical assessment states that R1 does not wander. Resident sign out sheet showed that R1 did sign out on 04/18/2022 at 9:30am. Incident reports revealed that R1 left facility on 4/18/202 and a missing person’s report was filed on the next day. R2-R4 stated that they can leave the facility anytime and they sign out to comply with house rules.

S3 stated he was at facility when R1 returned on April 24 at 6:40pm and asked R1 where R1 had been. R1 told S3 that he was in the hospital for 2 days (facility called hospital and hospital denied he was at hospital) and 2 days at a friend’s home on Orange grove address. S3 asked R1 to sign in but refused. S3 asked R1 to bath since his clothes were dirty. S3 stated that all residents can leave the facility when they wish unless there is a physician’s order prohibiting it.

Based upon interviews conducted and records reviewed, the findings indicate although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are Unsubstantiated. An exit interview was conducted with Administrator and a hard copy of the report and appeal rights were provided.