ST. PAUL —
"Going on passes with this family member was really an important part of the treatment approach and things were going very well," said Kerber, the DHS inspector general.
Kerber said it's unclear what went wrong. The investigation is marked "inconclusive."
Licensing investigators did not interview Ewing because of the pending criminal charges. They also did not interview his mother, who suffered severe injuries and is still recovering.
Kerber said investigators found an unrelated licensing violation while reviewing the Ewing case. They found the Minnesota Security Hospital was relying on inconsistent policies about patient security levels and grounds privileges. The facility received a correction order that requires it submit a revised set of policies and procedures within 30 days.
Anne Barry, the deputy commissioner for the Department of Human Services who oversees the Minnesota Security Hospital released a brief statement about the findings.
"These were tragic incidents," the statement said. "Staff at the Minnesota Security Hospital will be reviewing all the policies and procedures to address the issues identified by licensing in the correction order. We will submit revised policies and procedures to licensing as required by the order."