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A person with dementia does not stop having somewhere to be. She is going home to make dinner. He is going to work, or looking for a child who is now sixty years old. The medical term is wandering, and it is one of the most thoroughly documented behaviors in dementia care; the Alzheimer’s Association reports that six in ten people living with dementia will wander at least once, and many do so repeatedly. Facilities that market themselves as equipped for dementia know this before your family ever walks through the door.
Elopement is what happens when that known behavior meets an unlocked door, a broken alarm, or a shift with too few staff to notice an empty chair. A resident leaves the building without authorization, or the supervision she needed, and what follows in Michigan can be brutal: traffic, open water, and in winter, cold that kills within hours. Vahdat Weisman Law represents Michigan families when a wandering resident is injured or killed after leaving a facility that was supposed to be watching. Call (734) 469-4994 for a free, confidential consultation, any hour. You pay no attorney fee unless we recover compensation.
Research on missing persons with dementia found that most of those who died were found in natural areas like woods, fields, and water, that exposure and drowning were the leading causes of death, and that the odds of survival fall sharply the longer a person is missing. The first hours are everything. A national investigation by the Washington Post counted more than 2,000 older adults who wandered from assisted living and memory care facilities since 2018, and at least 98 deaths.
Michigan winters raise the stakes further. A confused resident who steps outside in January in a nightgown does not have 24 hours. In one Michigan case, an 82-year-old woman left her facility near Lansing during the December 2022 blizzard and died of hypothermia; a caregiver was later convicted of second-degree vulnerable adult abuse in connection with her death and sentenced in 2024. The conviction is a matter of public record, and it reflects how seriously Michigan authorities treat a facility’s failure to act on a known exit-seeking resident.
For nursing homes certified for Medicare or Medicaid, the duty is federal. Under 42 CFR 483.25(d), each resident must receive adequate supervision to prevent accidents, and federal guidance defines elopement as a resident leaving the premises or a safe area without authorization or the supervision they need. Adequate supervision is not one-size-fits-all; it is measured against each resident’s assessed risk. A resident with dementia who has tried the doors before is owed more than the building’s default.
Competent elopement prevention is concrete and testable. It looks like a risk assessment at admission, repeated quarterly and whenever the resident’s condition changes. A current photograph on file. Door alarms that are tested and actually work. Wander-management systems, the wearable transmitters that lock or alarm monitored exits. A written missing-resident protocol with an immediate head count, a systematic search, and a fast 911 call rather than an hour of staff quietly checking hallways first. Staffing enough to notice an absence in minutes rather than at the next meal. Wandering inside the building carries risks of its own, into stairwells, kitchens, or another resident’s room, and the same supervision duties apply there. Michigan’s minimum ratios under MCL 333.21720a are floors, and a memory unit can meet them on paper while the one aide assigned to a hallway is helping someone in a bathroom as another resident walks out the door.
Facilities sometimes suggest they could not lawfully stop a resident from leaving, and for a resident with intact decision-making capacity, that can be true; competent adults have the right to come and go. But for a resident whose dementia the facility itself documented, secured units, delayed-egress doors, and alarmed exits are lawful and standard, and the real question is whether the facility used the tools it advertised.
Many Michigan elopements do not happen in nursing homes at all. They happen in assisted living and memory care buildings, which Michigan generally licenses as homes for the aged or adult foster care facilities rather than as nursing homes. Families rarely know the difference, and the marketing does not encourage them to learn it. The legal theories differ somewhat between settings, but negligence claims are viable in all of them, and Michigan law adds a useful tool: under MCL 333.20178, a nursing home or home for the aged that advertises specialized Alzheimer’s or dementia care must give families a written description of its dementia care philosophy, staff training practices, and the physical environment and design features it provides, and a similar disclosure law covers adult foster care homes. The glossy brochure promising secured courtyards and specially trained staff is not just marketing. It is a written representation your family relied on, and we use it.
Whichever license the building holds, if your loved one walked away from a facility that accepted them knowing they had dementia, the questions are the same. What did the risk assessment say? What interventions did the care plan promise? Were the alarms working that day? How long was she gone before anyone noticed, and what did staff do in those first minutes?
Elopement claims usually center on custodial supervision, keeping track of a resident the facility knew could not safely leave, which is usually treated as ordinary negligence with a three-year limitations period. Some aspects, like the adequacy of a clinical risk assessment, can be characterized as medical malpractice, which generally carries a two-year deadline, pre-suit notice requirements, an expert affidavit of merit, and caps on non-economic damages, set for 2026 at $596,400 in most cases and $1,065,000 for statutorily defined catastrophic injuries. Facilities push the malpractice label because of those caps and deadlines, so we plead to protect both theories and treat the earliest deadline as the real one. Where the elopement ends in death, the claim proceeds through the estate’s personal representative under the wrongful death act, covering funeral and medical expenses, conscious pain and suffering where the evidence supports it, and the family’s loss of society and companionship. Our nursing home wrongful death page explains that process.
Survivors have claims too. A resident found injured, frostbitten, or dehydrated after hours outside has suffered a compensable harm, and so has one who lived through the fear of being lost. A complaint to LARA, Michigan’s licensing agency, best filed within 12 months because older incidents often cannot be investigated under the survey rules, can put surveyors in the building and create official findings; for nursing homes, elopements are among the failures that can draw the most serious federal citation level.
Make sure the incident is documented outside the facility: a police report if 911 was involved, hospital records, photographs of any injuries. Request the complete chart in writing, including the elopement risk assessments, care plan, and incident reports; residents and their legal representatives are entitled to the records. Ask in writing for the facility’s account of the timeline, who noticed the absence, when, and what they did, and write down every verbal explanation you receive, with names, because early accounts sometimes change. Ask whether the door alarm and wander-management logs were preserved. Do not sign anything new. Then call us; preserving video, alarm data, and staffing records quickly is often the difference in these cases, and we move fast on it.
An elopement case is a timeline case. We reconstruct it from the facility’s own materials: risk assessments, care plans, alarm and access logs, staffing schedules, surveillance video, and the gap between when your loved one left and when anyone noticed. We know the licensing differences between Michigan nursing homes, homes for the aged, and adult foster care, and how those differences shape the claim. And we will be honest with you; a facility that assessed the risk, ran real interventions, and still lost a resident to a determined exit presents a harder case, and we will tell you so after we investigate rather than promising outcomes first.
Founding partners Kara E. Weisman and Jordan S. Vahdat have each been honored as Super Lawyers Rising Stars, and our attorneys are members of the State Bar of Michigan and active in the Michigan Association for Justice. We advance case costs, phones are answered 24/7 at our Livonia office, and we serve families in English and Spanish. Our main nursing home abuse and neglect page covers the full range of supervision failures, and our falls and fractures page addresses the injuries that most often follow them inside the building.
Your family was promised supervision, and the building’s own records should show whether it was delivered. Call Vahdat Weisman Law at (734) 469-4994 or contact us online for a free, confidential consultation. Available 24/7, serving all of Michigan, with Spanish-speaking staff.
Dedicated to Justice. Devoted to You. Winning for Your Future.
This information is for educational purposes only and does not constitute legal advice. Every case is unique, and prior results do not guarantee future success.