Highland Chateau Health And Rehabilitation Center

During an interview on 2/20/2026 at 2:42 p.m. vice president of clinical services (VP) stated she looked at a resident's hospital history and physical, the elopement assessment and a resident's cognition to assess if a resident was safe to go into the community safely. VP would document in a resident's care plan if they were not safe to leave the facility safely by themselves.

During an interview on 2/20/2026 at 3:50 p.m. nurse practitioner stated she would expect the facility to do an assessment including cognition, mobility, and ability to do things for themself like cross the street, get on a bus or use money before a resident goes out into the community independently.Facility policies did not address protocols and criteria for residents to leave the facility independently.The Resident Leave of Absence policy dated 1/13/2026 instructed a resident can choose to leave the facility for limited periods for therapeutic reasons.

Residents leaving the facility must sign the designated leave of absence book with time leaving the facility, expected return time and purpose for the pass.

Residents who have responsible parties will be contacted for approval.

The Care Plans, Comprehensive Person-Centered policy dated 11/13/25 instructed a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs must be developed and implemented for each resident.

Care plan interventions are chosen only after data gathering, proper sequencing of events, careful consideration of the relationship between the resident's problem areas and their causes, and relevant clinical decision making.

Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change.