It was alleged that the facility accepted and retained a resident requiring a higher level of care. During the course of the investigation LPA interviewed staff (S1) and reviewed resident (R1's) file including but not limited to R1’s Pre-Appraisal/Needs and Services Plan, Admission Agreement, Physician Report, Facility house rules, Progress notes from the previous placement, R1’s Records History, R1 Certificate of Achievement (Jay Mahler Recovery Center Program), MAR of July/ Sept, and UIR report, Progress notes, Email thread with everyone that are responsible and in care for R1’s, Missing person police report, and MAR for June 2023.

R1’s report indicates that R1 has been demonstrating no behaviors concerns. There’s also no significant change in R1 mood and behavior. R1 MAR shows R1 is taking medications and R1 follows all recommended treatment plan, including following maintaining R1 ADLs and hygiene are good. R1’s progress does not show R1 is doing good with following R1’s goals. S1 stated when S1 meets with R1 R1’s told S1 that R1 is stable with R1 mood and taking still taking classes for R1 recovery program. R1 received a certificate of achievement at Jay Mahler recovery center program.

This agency has investigated the complaint alleging staff did not prevent client from leaving the facility unassisted. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted, a copy of this report provided.