Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct a Case Management-Incident visit regarding an elopement that occurred on 8/20/2025. LPA met with Resident Care Supervisor (RCS) Lisa Lanford and stated the purpose of the visit.

On 8/21/2025 RCS called the Department and spoke with LPA Christine Kabariti to report the elopement of Resident R1 on 8/20/2025. RCS stated R1 was located outside of the facility on 8/20/2025. RCS stated R1 returned back to the facility that same day and did not sustain injuries during this incident. RCS stated the facility has not submitted an LIC624 Unusual Incident Report/Injury Report and the SOC341 to the Department as of 8/25/2025. LPA requested RCS to submit the LIC624 and SOC341 to the Department on or before 8/27/2025.

LPA interviewed 3 staff and toured 1 resident room. LPA requested pertinent documentation to include but not limited to physician's reports, service plans, and resident emergency contacts.

LPA determined this case management needs further investigation.

No deficiencies cited during today's visit. An exit interview was conducted with RCS Lisa Lanford and a copy of this report was provided.