Complaint Investigation Report

9099C-1.... Facility staff did not provide adequate supervision resulting in resident eloping from facility. The complaint alleges that a family member received a call from staff saying that one of the other residents was able to scale the fence and ended up in the parking lot. There is no day/time mentioned when the call was allegedly received nor a staff person referenced.

Both the Administrator and RCC stated that it is facility protocol to only contact the responsible person(s) or family member(s) that is involved in an incident, and family members for another resident not involved in an incident would not be contacted.

Interviews conducted with facility staff on 1/18/24 did confirm that resident (R1) tried to exit seek a few times in 2023 when living at the facility but was able to be re-directed by staff. Interviews also revealed that (R1) believed a family member was trapped in a car in the parking lot so staff walked her out to the vehicle and showed her that the vehicle did not have any individuals inside.

The Administrator and RCC both confirmed that resident (R2) eloped from the community on/around June 29, 2023 and has not tried to leave unattended again. Staff confirmed this incident was also the last elopement incident for (R2) and no other resident has tried to leave the facility unattended either.

This allegation was also previously investigated for (R2) and found to be substantiated and a citation was issued.

Based on information obtained, this allegation is this complaint report is UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis.

Exit interview. Copy of report emailed to the RCC.