Administrator’s interview revealed that the facility has an open-door policy for residents to come and go at the facility as they desire. Administrator stated that residents are advised during the admission process and per the Admission Agreement that if they plan to leave the facility for an extended period or more than 24 hours; staff should be notified. Per Administrator, the only time residents are not administrated their medication, is when they are not present at the facility or when they refuse. The facility has Medical Administration Record (MAR) that is tracked by staff of any resident’s missed medication and the reason why the medication was not taken. Staff interviews revealed that, R1 was not present at the facility on 4/16/22, 4/17/22, and 4/18/22 and left the facility without notifying the Administrator or staff. Staff denied not administrating R1’s medication as prescribed. Staff stated that medication was not administrated to R1 because they were not present at the facility and left the facility without notifying facility staff. Interviews conducted with facility staff provided no evidence that staff did not administer R1’s medication as prescribed due to R1 not being present at the facility.

Interview conducted with an outside source revealed that R1 arrived at an appointment with bruises on their feet and ankle due to a fall. R1 reported to outside source that they took a trip by bus to the beach, met their ex-spouse, and was assaulted by an unknown individual and injured themself due to falling. An outside source stated that their concern was the missed medication. However, outside source stated it was undetermined if the conversation and sequences of events that R1 reported actually occurred due to R1’s story changing many times during the visit. Interview with R1 revealed that they love living at the facility, however on 4/16/22; they were bored and wanted to take a trip to the ocean. R1 stated that they took the Amtrack train to the ocean and stayed overnight at a local hotel in downtown. R1 acknowledged that they did not notify the administrator or staff that they had plans to leave the facility for the weekend. R1 stated that they were sorry that everyone at the facility was concerned about them and that they were reported missing. R1 revealed that they did fall and sustained an injury on their leg and face; however, stated that the bruise on their face disappeared prior to returning to the facility. R1 stated that they forgot to take their medication with them on their vacation. R1 stated that they were not assaulted and learned how to protect themself through self-defense courses. R1 was seen by medical professional on 4/18/22 and released.

Based on interviews conducted and evidence obtained, allegation is Unsubstantiated. Although the allegation may have occurred or are valid, there is not a preponderance of the evidence to prove the alleged violation occurred. An exit interview was conducted with Bryan Meyers, Administrator, the Licensee’s Rights (LIC 9058 01/16) along with a copy of this report was provided to Administrator and the signature on this form confirms receipt of these rights.