Facility Evaluation Report

On 7-13-22 at 10:30am, Licensing Program Analysts (LPAs) Michael Bilger and Renee Campbell arrived unannounced to conduct a case management visit regarding an incident reported on 6-24-22. LPA met with assistant administrator Carrie Mumphrey and explained the purpose of the visit. LPA Bilger spoke with Administrator William Puckett and explained the purpose of the visit. LPAs interviewed Administrator, assistant administrator, and resident1 (R1). LPAs also reviewed incident report dated 6-24-22 and hospital notes for R1.

Based on interviews and record reviews it was determined that R1 exited facility on 6-24-22 at approximately 2:00am. It was further determined that 1 staff member was on duty during the elopement episode, and additional staff arrived to attempt locate R1, but were unsuccessful in determining R1s whereabouts until 6:00pm when police department returned R1 to facility. Upon further interviews, it was determined that R1 stated she was inappropriately touched by an individual outside of the facility during R1's elopement period. Interview with assistant administrator and Administrator concluded that after learning of alleged abuse, police department was notified, but notification to licensing department and ombudsman was not completed

As a result of today's visit, deficiencies are cited under Title 22, Division 6. An exit interview was conducted with Carrie Mumphrey and a copy of this report was left with Carrie. Appeal rights provided.