Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced case management visit to follow up on an incident where a resident eloped from the facility. LPA met with General Manager (GM) J.P. Rollet. LPA stated the purpose of the visit.

On 7/21/2025, the Department received an Incident Report (IR) dated July 18 , 2025, stating Resident R1 had eloped from the facility at approximately 2:50PM. The IR states staff received a report from Staff S7 at approximately 2:50PM, where S7 reported ‘seeing a lady on the street that resembles one our residents.” The facility began a search for R1 and did not locate R1 in his/her room. Staff began a search in the area outside of the facility where S7 reportedly observed R1. R1 was located by facility staff at approximately 3:05PM, sitting on the side of the street across from the local fire station. R1 was being taken by paramedics for assessment due to falling and sustaining an injury to the head.

Based on Google Maps search, R1 was located approximately 0.7 miles away from the facility.

On 7/22/2025 and 9/11/2025, LPA Tarin interviewed Staff S1 to S6. 3 out of 6 staff did not observe R1 on the day of elopement. S1 and S4 stated he/she saw R1 in the facility between 2:45PM and 2:50PM. S6 states he/she observed R1 between 2:00PM and 2:30PM.

6 out of 6 staff stated R1 has a history of wandering behavior. 2 out of 6 staff stated R1 has eloped from the facility before 7/18/2025. S2 and S4 states R1 eloped in May 2024 but did not provide additional information.