Missing Resident Search and Notification Log

Documents a real-time response when a resident is unaccounted for, including search areas, notifications, actions taken, and outcome.

Submission Notice

• Date resident was first identified as missing
• Time resident was first identified as missing
• Reported by
• Resident status
• If other, describe the status

Resident Information

• Resident name
• Resident ID or chart number
  Use the facility identifier if available. Do not enter SSN or other unnecessary PII.
• Unit or room
• Known risk factors relevant to the search
• If other, describe the risk factor

Search Areas and Timeline

• Brief summary of search actions taken so far
• Search areas checked
• Current search status

Notifications and Escalation

• Notifications made
• Were external authorities notified?
• Authority notification details
• Family or representative notified

Outcome and Follow-Up

• Was the resident located?
• Date resident was located
• Time resident was located
• Condition on return or recovery
• Follow-up actions required
• If other, describe the follow-up action