The 55 year-old North Carolina man was admitted to an assisted living facility due to difficulties associated with his schizophrenia. On April 19, 2004, he was discovered missing from his assisted living facility. Although the staff was aware that the man was a “wanderer,” they had no idea when he had actually disappeared because his medication sessions were logged even after April 19. A week later, the man was found drowned in a lake a mile away. Unfortunately, nursing home abuse and neglect similar to this incident is not uncommon. In the past three years, North Carolina reports on numerous incidents of violence, neglect, and filth in this home and other homes run by the same management company.