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Good luck--and if this place is not listening to you or seems to not care--move her.
If you get to go to the care plan review meeting, don't explain what you don't like be blunt (and NEVER apologise for asking the question) Say something like. What are you going to do that will prevent harm coming to harm through unauthorised egress from the facility. If they seem to be side stepping repeat it and keep repeating it till you get an answer and make sure the answer is written into the care plan with a date of expectancy next to it.
At my moms NH care plan meeting there would be someone from her daytime nursing staff, a social worker, someone from dietary and the activities director. After my mom went on hospice, hospice RN went as well. These are scheduled meetings, usually 15 minutes. The DPOA will be asked to sign off on the meeting. If there is something you want to be done you need to write it in the sign off form. Rarely is the medical director or the DON (director of nursing & the goddess and ruler of the NH) at the care plan meeting. But if something you requested to be done in writing at the meeting is not done, then you send a letter to the DON about this. DON puts the request in to medical director if it's something medical (like orders or RX) that needs to happen. Otherwise DON deals with all other issues with input based on from whatever is in your elders chart.
Are you the DPOA & MPOA ?
Secure simply means that there is locked door at the entrance to that part of the facility. One needs a special passcode to get out. There is someone nearby watching that entrance. It's not a jail, but it IS secure.
Also, there are sometimes meds that can calm the agitation that causes dementia patients to want to escape. Have her evaluated by a geriatric psychiatrist for that.