The Department conducted record review, interviewed staff and residents to investigate this allegation. Record review indicated that resident, R1, left the facility and AWOL on 06/23/24 around 8.30am and was found by law enforcement 0.5 miles away from facility in their wheelchair. R1 was transferred to nearby hospital for 51/50 and facility was notified by law enforcement around 10 am that they found R1 on street unattended and unsupervised. Staff interviews indicated that staff saw R1 sitting outside the facility around 8.30am on 06/23/24 but did not provide adequate care and supervision resulting R1 leaving the facility unattended. Record review indicated that R1's physician's report, dated 10/27/23, indicates that resident has diagnosis of stroke and cannot leave the facility unassisted. Although no injuries resulted from R1’s AWOL, R1 was unable to leave the facility unassisted. Facility staff did not provide care and supervision to R1 resulting in R1 leaving the facility unassisted therefore this allegation was found to be Substantiated.

Throughout the course of the investigation, the Department reviewed facility notes, resident files, and conducted relevant party interviews, obtained relevant documentation and evidence. Record review indicated that facility has adequate staffing to meet resident’s needs. Through staff interviews, the Department was able to verify that there were enough staff to meet the residents' needs and there were no concerns. Residents interview indicated that their care needs were met by staff and there were no issues in this area. Record review by Department indicated that facility has adequate staffing to take care of resident’s needs and there were no concerns. Based on gathered information, this allegation was found to be Unsubstantiated.

Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.