Connecticut Nursing Home Fined $1,080 After Elopement of Resident with Dementia

Connecticut Nursing Home Fined $1,080 After Elopement
of Resident with Dementia

Failure to protect and safeguard residents known to be at risk for elopement is considered sub-standard quality of care and may result in the submission of false claims

Compliance PerspectiveĀ –Ā Elopement

Policies/Procedures: The Compliance and Ethics Officer with the Director of Nursing and the Administrator will review the policies and procedures involving protecting and safeguarding residents at risk for elopement.

Training: The Compliance and Ethics Officer with the Director of Nursing will ensure that staff are trained to follow physiciansā€™ instructions for monitoring and are alert to residents known to be at risk for elopement who are to wear sensor devices like a Wander Guard bracelet, and who may have removed them. They will also ensure that elopement drills are conducted periodically, and that staff demonstrate competence in responding appropriately.

Audit: The Compliance and Ethics Officer should personally conduct periodic audits to verify that residents at risk of eloping who are to wear a sensor device bracelet are wearing them, and that they are operating correctly. Also, the audit should include verifying that any physician-prescribed periodic monitoring orders are followed.

The Connecticut Department of Public Health (DPH) has fined a nursing home $1,080 for failing to prevent the elopement of a resident in a nursing home who was known to be at risk for elopement, but who was able to leave the nursing home on July 2 without supervision. The resident wandered about a mile away and was missing for two hours before being found by a staff member who recognized the resident and returned the resident to the facility. Before the July 2 incident, the resident had incidents of either talking about or attempting to leave the nursing home on at least five daysā€”June 10, 11, 13, 18, and 29.

During the June 13th incident, it was noted that the resident was not wearing a Wander Guard sensor bracelet, so a new bracelet was placed on the resident. However, the resident was later seen again not wearing it. The DPH report stated that the residentā€™s physician ordered the bracelet discontinued, and staff were directed to monitor the resident every 15 minutes. The investigation found that on July 2 when the elopement was investigated, the resident had not been monitored between 3:15 p.m. and 5:45 p.m.

Officials at the nursing home did not issue any statements or return phone inquiries about the fine.