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13 | At approximately 10:15 a.m. on 10/08/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.
To investigate the allegations above, LPA conducted an initial visit on 10/01/25 and interviewed staff and residents between 8:45 a.m. and 12:45 p.m., toured the facility at 9:00 a.m., and requested pertinent record at 12:00 p.m. Today, LPA toured the facility inside and out at 11:00 a.m., interviewed Staff #1 (S1) at approximately 12:30 p.m., and conducted a record review of pertinent records, including but not limited to a medical assessment, care plan, and client roster at 2:30 p.m.
Regarding the allegation "Staff did not prevent resident from wandering from facility" it was alleged Resident #1 (R1) had wandered away from the facility unsupervised. Interview with Staff #2 (S2) at approximately 9:05 a.m. on 10/01/25 revealed R1 was last at the facility on 11/01/24. R1 was hospitalized and never returned to the facility. |