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32 | Regarding the allegation: Staff did not prevent resident from wandering from the facility. It is being alleged that resident #1(R1) was found outside of the facility to be confused and displaying signs consistent with the need for supervision and care. During LPA's interview with R1, R1 admitted, "that they wanted to take a walk so they exited the facility which R1 had done before and ended up in a construction zone area." LPA asked R1 what their diagnosis was and R1 stated, "I'm bipolar." Let it be noted, R1 was alert and is ambulatory. LPA asked R1 if they are taking their medication and R1 stated, "yes, faithfully everyday." During LPA's file review of R1, R1's Admission Record from the skilled nursing, medical assessment, pre-placement appraisal, needs and services appraisal and resident appraisal confirmed R1 is bipolar, schizophrenic, alert and ambulatory. R1 is not a wanderer and R1 does not have a history of elopement and/or dementia/Alzheimer's. R1's admission date to the facility was on 03/27/26. LPA interviewed two (2) staff that confirmed that R1 is new to the facility and is alert and can walk on their own." One (1) staff did confirm that R1 has a neurologist appointment to make sure R1's diagnosis remains the same and if something is wrong they will update their paperwork and limit R1 from leaving the facility unattended. The other staff stated, "R1 has never refused medication." R1 currently does not need supervision to leave the facility. During LPA's physical tour and observation of R1, R1 was also wearing a wristband that displays the facility name and phone number. Furthermore, LPA received an Unusual/Incident Injury Report that was sent to Community Care Licensing Department in regards to R1's incident on 05/05/26, leaving the facility. LPA interviewed four (4) other residents that do not need help with supervision and stated, "they are free to come and go as they please." Therefore, based on the interviews and file review of R1 conducted the allegation(s) is UNSUBSTANTIATED at this time.
An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator.
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