Complaint Investigation Report

LPA interviewed the Administrator regarding the delayed removal of the Wanderguard in the one confirmed case. The Administrator stated that if a resident has a diagnosis of Mild Cognitive Impairment (MCI), “they cannot leave unless the paperwork clears that from the doctor.” He explained that due to past incidents at other facilities where residents were injured after eloping, he is cautious and “follows the most restrictive order.” The Administrator further stated that the facility received a doctor’s note requesting removal of the device; however, they requested a new LIC 602A because “we now have two items that contradict the requirements.” He referenced a past court proceeding in which a judge asked, “why didn’t you go with the most restrictive?”

Although concerns were raised regarding administrative practices and documentation, the investigation did not yield sufficient evidence showing that the Administrator acted outside the scope of administrative qualifications at the time of this report. The evidence does not meet the preponderance of evidence standard required to substantiate the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Exit interview done and copy of report printed for administrator.