Perhaps it was no coincidence that a Duluth nursing home resident chose this past Independence Day to slip out of the facility for a stroll. He was discovered hours later, three blocks away, with a sunburn.
Bayshore Health Center failed to properly supervise the resident, who had recently shown signs of confusion and was supposed to be checked every 15 minutes, according to a Minnesota Office of Health Facilities Complaints report released this week.
Investigators noted that the resident's care plan failed to list his "exit-seeking behavior" as a problem.
The man was fitted with an electronic monitoring band several days before the escape, but he had a tendency to remove the band, the report said.