Inspection Reports for Livewell at Midenhall Way

The inspection was conducted as a complaint investigation following an incident where Resident #1, identified as a wanderer with exit-seeking behaviors, eloped from the facility on 1/21/2024.

The facility failed to provide adequate supervision and staffing for Resident #1, who eloped from the facility without staff knowledge and was found outside approximately 25-30 minutes later. Staff were distracted and did not respond appropriately to door alarms or resident behaviors, resulting in a Type A2 and a Type B violation.

The complaint investigation was triggered by Resident #1 eloping from the facility on 1/21/2024. The incident involved Resident #1 being found outside in night clothes and shoes, disoriented, after approximately 25-30 minutes. The investigation included interviews with staff, the administrator, and the resident's primary care provider, revealing failures in supervision and staffing.

The Adult Care Licensure Section conducted an annual survey of the facility on 08/10/2023 to assess compliance with nutrition and food service regulations.

The facility failed to ensure that breakfast was served at the regular time, with observations and interviews revealing breakfast was served late between 11:01am and 12:00pm instead of the usual 7:00am to 7:30am timeframe. Staff and residents confirmed the late serving of breakfast, and the administrator acknowledged the residents had not eaten breakfast at the time of arrival.