Livewell Cary

The facility failed to ensure adequate supervision for a resident identified as having wandering and exit-seeking behaviors. This resulted in an incident on 1/21/2024 where the resident eloped from the facility for approximately 25 to 28 minutes.

The facility failed to provide adequate supervision for a resident identified as having wandering and exit-seeking behaviors, resulting in the resident eloping from the facility on 1/21/2024. Despite the resident's known history of wandering and disorientation, staff did not prevent the resident from exiting the building and walking approximately 211 feet away.

The facility failed to serve breakfast at the regular scheduled time, with meals being served between 11:01 am and 12:00 pm instead of the posted 7:30 am start. Staff instructed food preparation to stop to ensure residents were out of bed, resulting in significant delays. Interviews with residents and staff confirmed that breakfast was not served at the established regular time.

The facility failed to serve breakfast at a regular time, with meals being served between 11:01 am and 12:00 pm. Staff intentionally delayed meal preparation until all residents were out of bed, resulting in a significant delay from the normal breakfast schedule.