Facility Evaluation Report, 01/02/2025 — Atria Willow Glen, San Jose CA

Licensing Program Analysts (LPAs) Manuel Monter and Simi Rai conducted an unannounced case management visit in regards an incident report, which stated a resident had eloped from the facility. LPAs met with Administrator Kurt Gursu and stated the purpose of the visit.

On September 12, 2024, the Department received an Incident Report for September 11, 2024, Resident R1 had exited through a secured delayed egress door in the memory care courtyard at 8:30am. The Incident Report states staff responded to the delayed egress and began a search. While the search was underway, the facility received a call around 8:50am, and was informed R1 was on a bus. R1 was picked up at by staff at 9:05am and returned to the community.

On September 13 & 16 and November 7 & 13 and December 19, 2024, LPA Monter interviewed Staff S1- S6. Staff S1 stated the day of the staff was assisting residents with the morning routine. S1 stated he/she was in the restroom when he/she heard the alarm and went to patio delayed egress where the alarm had activated. S1 stated when he/she arrived to the patio delayed egress, the door was closed but the alarm was still ringing. S1 stated he/she imputed the delayed egress code to turn off the alarm. S1 acknowledged that the delayed egress continues to ring when the door has been opened. S1 stated he/she did not immediately look around the area. S1 stated he/she thought R1 had pushed the delayed egress then just gave up and didn’t actually leave the memory care unit. S1 stated he/she then went around the memory care unit looking for R1, because he/she is the only resident who attempts to elope thru the backyard patio door. S1 stated he/she then asked other staff members if they knew where R1 was and that was when S1 stated he/she realized that R1 was not inside the memory care unit. S1 stated the facility conducted a search but couldn’t find R1. S1 stated a good Samaritan contacted the facility and informed the facility R1 had entered the bus and had stopped near the KFC (983 Meridian Ave, San Jose Ca 95126).