Elopement

'Elopement' is when a nursing home resident leaves the nursing home itself without staff knowledge and gets into harms way. 

Elopement in nursing homes is most common amongst residents who suffer from dementia, Alzheimer's Disease, and who are on medications (psychotropic drugs) that cause confusion.  In order to prevent situations where a resident may elope, it is important for the nursing home to conduct an assessment for every resident.  Assessments should trigger the nursing home staff to take precautions.

If a nursing home resident is determined to be a risk for wandering, the following precautions should be in place:

  • Door alarms and bed alarms should be installed and in working order
  • Staff should monitor all exits of the long-term facility or nursing home
  • Keep at-risk residents close to a nursing station or in a high-traffic area to assure many people on the nursing home staff can look after the resident
  • Potentially use physical restraints

Incidents of elopement often occur with residents who are the most vulnerable to injuries.  Below you will find some recent articles referencing injuries that have occurred following elopement.

Comments (1)

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JRS - August 27, 2009 9:56 PM

I understand the need to assess a resident's competency and protect a resident who is not competent. But there is another side to this coin.

My mother is in a facility, and we had invited her roommate to come to dinner with us. We were shocked when the roommate, who is in the facility for a (stable)heart condition not dementia, was prevented from leaving by staff on her own recognizance. Neither she, nor her family, were ever informed that she had lost her right to leave of her own free will. Since the family could not be contacted, she was not permitted to join us.

My question is: do residents of a facility automatically lose their rights, and if so, shouldn't they and their families be informed if they are deemed incompetent to make decisions for themselves? Shouldn't there be some written notice of this to a family, with suggestions as to how the family can assist their resident?

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About Jonathan Rosenfeld

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Jonathan Rosenfeld is a lawyer who represents people injured in nursing homes and long-term care facilities.   Jonathan has represented...

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