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Again my Moms AL was small. Everytime I took Mom out of the AL I had to sign her out and when she came back, I signed her in. As said prior, a keypad was used to let myself inand out.

I know for a fact, that the log is looked at. My GF was a hairdresser for the AL. She did hair there on Mondays. This one time she took a resident to her shop, right around the corner, to do her hair. I was there and volunteered to take the resident back. When I got there the aide said "we wondered where she was". My GF had forgotten to log the resident out.
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Ask the administrator of the facility what. their requirements are; and ask if there are state regulations / requirements that a facility must follow. Whether it is assisted living or memory care facility, they are licensed and must follow regulations - or be penalized / fined.

* You could also go directly to the licensing board of these types of facilities in your state.

* I note some people here. are rude. I encourage all of us to show compassion and kindness when responding to a person's question/concerns.

Gena / Touch Matters
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I posted this in another thread, but a 92 yr old lady is dead after she went outside from her AL, fell and could not get up. She was last checked on at 12:30 am and was not found until 6:30 am. The door alarm did not go off when she opened the door to go outside.
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my2cents Jan 2023
Exactly what I thought of when I read this post! Facilities should have cameras outside all the way around and an alarm that says someone went out. At any given time an AL person could need help.

I found a man who had fallen onto a recently severely pruned rose bush. I was prompted to look for a patient because I found an empty wheelchair on a sidewalk. Very thick wood with huge thorns. When he fell he straddled it so the thorns were entwined into the shorts he was wearing and his skin. He had some kind of foot soft casts/boots on because of recent surgery. One of the nurses had taken him outside earlier in the day and parked him. It was a Texas hot summer day, so when they didn't come back for him, he tried to get inside on his own. From that point he was attached to the bush out in the blazing hot sun for I don't know how long. I couldn't get him up by myself because it was hurting him, so I ran inside to get help. Their response when they saw him....'well, how did you get down there....giggle giggle'. I was soooo mad. I found his family later and let them know about the wounds he had in crotch area and suggested they make sure that fall was recorded in his record.
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I totally understand an AL having a door to exit because if you're in there, you can manage on your own with very limited help. In fact, 'help' is kind of a stand by thing and folks live there pretty much like they did on their own except there is someone close by if you need it.

For the door to lock behind them - now that's the real issue. If you're having trouble getting anyone's attention, you can bet one of those elderly people could end up in the cold or other bad weather waiting on someone to show up. (Especially in the area you are!) I shudder to think about one of those old folks going out for a stroll or a smoke and ending up outside waaaay too long and possibly not being found until the next day. Scary!!

I think I would definitely talk to them about it. Perhaps mention a swipe card or code for people to use going in and out at night. If they won't do that, another suggestion might be a detour sign at that door when they are not sitting back there to direct the residents to go to another door where staff are sitting. Folks in AL would probably be able to follow a direction like that. However, if memory becomes a problem, the resident would need a more monitored/higher level of care facility.
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There is a difference between assisted living and memory care. Memory care facilities are locked facilities, which no one can just freely walk in or out. When I visit my mom, a staff member has to let me in and a staff member must enter a code on a keypad to let me out. Assisted living are not locked facilities. If your mom has dementia, she needs to be in a memory care facility.
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I would worry about that all the time.Which I’m sure you do.
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