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32 | It was alleged that Resident #1 (R1) was being held in the facility against their will and they were unable to move out. LPA interviewed staff who stated that on 06/14/2026, R1 was attempting to leave the facility unassisted to board a flight. Staff stated that R1’s physician had determined that R1 is unable to leave the facility unassisted and R1 requires assistance with activities of daily living (ADLs). LPA interviewed R1 who stated that their physician determined that R1 has the capacity to live independently and that on 06/14/2026, R1 was attempting to leave the facility independently. LPA reviewed a letter from R1’s primary care physician signed and dated on 12/30/2024 that states that “due to medical conditions, [R1] is unable to manage [their] own affairs/estate, including all medical and financial responsibilities. [R1’s] care requires structured assisted living care.” LPA observed a letter from a second physician signed and dated 01/06/2025 that documents that “due to [R1’s] cognitive decline, [R1] is unable to manage [their] personal, legal, and financial affairs.” LPA reviewed R1’s most recent physician’s report by their primary care physician signed and dated 04/15/2025 that documents that R1 has “dementia” and is unable to “leave the facility unassisted.” LPA observed a letter from a third physician signed and dated 11/19/2025 stating that R1 “has major neurocognitive impairment that has rendered [R1] unable to manage instrumental activities of daily living including but not limited to [their] personal, legal, and financial responsibilities.” Lastly, LPA observed a neuropsychological assessment by a fourth physician, R1’s neuropsychologist, signed and dated 03/27/2026 stating that R1 “has the capacity to make basic financial and health care decisions” and “ongoing monitoring and support from trusted advisors will be beneficial.” The assessment further states that due to R1’s “variable difficulties with memory and other cognitive challenges, [R1] may benefit from some support for [their] safety and decision-making.” R1 stated that they will now be moving from the facility with assistance from a responsible party. LPA did not observe documentation from R1’s physician(s) indicating that R1 is able to leave the facility unassisted. Per regulation, “’Elopement’ occurs when a resident who is at risk of harm due to their cognitive condition leaves the facility unsupervised, or while in the licensee's care, leaves another safe location unsupervised.” R1’s documentation from licensed medical professionals document that R1 is at risk if they leave the facility unassisted. Therefore, based on interview and record review, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “Staff confine resident to facility” is deemed UNSUBSTANTIATED at this time.
No deficiencies cited. Exit interview conducted. A copy of the report was issued.
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