According to the report, "Staff assumed that Maree had put herself to bed as usual without checking up on her. The report's summary of findings identified the top issue as the delay in realising Wilkins was missing. According to the report a similar incident happened when a resident went missing for six hours. A family member visiting another resident had let a male resident out, and he was found down the road, unharmed, hours later. Visiting hours were consequently implemented from 9am to 5pm and visitors outside those hours had to be escorted in and out, the report said.

Source: Otago Daily Times February 24, 2018 20:26 UTC