Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley conducted a Case Management - Incident visit to follow up on a self-reported incident which took place on 01/16/2026. Upon arrival at 9:45 a.m. LPA was greeted by the front desk receptionist and explained the reason for the visit. LPA met with Executive Director (ED) Mark Ranno and Director of Resident Care Karen Pasten and the reason for the visit was explained. Entrance interview conducted.

On 01/16/2026 it was reported that Resident #1 (R1) exited the community through the front door at approx. 1:30 p.m. and proceed to walk down the side walk with their walker. A bystander observed R1 and proceed to drive into the community to inquired about R1. Upon identification of R1 staff responded and R1 was returned to the community. No injuries or incidents occurred. Physician and Power of Attorney (POA) informed and consented to have R1 placed on Wander Guard.

During today's visit, LPA and the staff toured the physical plant area inside and out to ensure there were no immediate health and safety concerns. Starting at 10:10 a.m. and throughout the visit LPA conducted three (3) in person staff interviews, at 11:12 a.m. attempted to conduct a telephonic interview with POA of R1, file and record review for R1 and obtained copies of pertinent documents relevant to the incident.

Staff interviews revealed that R1 is well-known within the community and regularly participates in community events and activities. R1 is social, self-aware, and independent. Prior to the incident, R1 had no history of elopement or wandering and had not exhibited any concerning behaviors or indicators suggesting a risk of elopement or wandering. Staff state that on the day of the incident R1 stated they were going to go for a walk around the community but decided to leave the community and cross the street. A bystander drove into the community spoke to concierge staff. Report Continued on LIC 809C...