Complaint Investigation Report

S1 filed a missing person report the following morning. Administrator stated that they kept looking for the client the following days and checked with hospitals, but couldn't find C1. On 09/28/23, the facility was contacted by a hospital and the client was discharged back to the facility. Administrator stated that the hospital had the wrong client information and that is why when they checked with that hospital they told the facility that they did not have anyone with C1's name. Administrator also stated that the client was found in front of some apartment complex and someone called the police. The police took C1 to the hospital. Administrator believes C1 might have taken a wrong turn and got lost because C1 has gone out to the liquor in the past and returned to the facility. Interview with S2 revealed that S2 does recall that C1 notified the staff that C1 was going to step out of the facility, but when C1 did not return during the usual time, the staff went out looking for C1 and could not find C1. S2 stated C1 has left the facility and safely returned in prior to this incident. Interview with C1 revealed that C1 always let the staff know when C1 is stepping out of the facility and on this day C1 did get lost on the way back to the facility. On the day of the incident, all C1 remembers is that a police officer approached C1 due to C1 having pain on the right side of the stomach and the police sent C1 to the hospital. C1's physician report shows that C1 is non-ambulatory and uses a wheelchair due to right side weakness, has no dementia, and it states that C1 is able to leave the facility unassisted. The facility did their due diligence in looking for the client and filing a missing person report.

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.

Exit interview held and a copy of the report was provided