Complaint Investigation Report

R1's family has also agreed to increase the number of visits and outings with the resident. The incident was communicated to R1's Physician, who is making adjustments to R1's medications to aid in the prevention of wandering. A record review of R1's file revealed that the resident is unable to leave the facility without supervision. Also, R1 has a history of wandering. LPA also reviewed the facility's staff schedule and found that the facility is adequately staffed for the number of residents in care. After the incident occurred, the facility provided staff an in-service training in elopement which reviewed facility protocol for resident elopement.

Based on LPA's observations, record reviews and staff interviews, we have substantiated the complaint allegation(s) as valid and that a violation has occurred based on the preponderance of available evidence. A deficiency will be cited to address the above mentioned concerns. A copy of this report along with appeal rights are being reviewed with, and furnished to the facility representative.