Facility Evaluation Report

Licensing Program Analysts (LPAs Manuel Monter & Marcella Tarin conducted an unannounced case management visit continuation in regards an incident report, which stated a resident had eloped from the facility. LPAs met with Administrator Gregory Becker. LPAs explained the purpose of the visit.

On August 26, 2024, the Department received an incident report (LIC624) regarding a resident (referred as R1) who eloped from the facility. According to the report, on August 20, 2024, at 12:10am, during rounds staff (referred as S12) noted that resident R1 was not in his/her bedroom in the memory unit. Staff S11 and S12 conducted a census of all memory care residents to account for the whereabouts of R1. During the rounds, the local law enforcement (LLE) arrived with resident R1, who was found outside the facility.

On August 19, 2024, at about 10:16pm Local Law Enforcement (LLE) responded to resident R1 being found nearby the Apartments complex (Apex). (Based on a google maps review of the location R1 was found, R1 was .5 miles away from the facility). At around 12:30am, R1 was brought back to the facility by LLE wherein staff stated they were unsure how he/she had left the facility.

Based on a review of R1’s Elopement Risk Assessment, dated July 2, 2024, R1 has a history of elopement and has wandering behaviors. Based on a review of R1’s Physicians Report, dated July 2nd, 2024, R1 has a diagnosis of neurocognitive disorder. R1 also has wandering behaviors and cannot leave the facility unassisted.