complaint·October 30, 2024

Allegation: Staff did not prevent resident from choking another resident. Regarding the allegation "Staff did not prevent resident from choking another resident" it is being alleged that the roommate of a resident choked the other resident while sharing the same room. On 10/30/2024, five out of five staff (S1-S5) interviews indicated that the choking incident never happened and when a resident complains about a roommate, they make sure to talk with other roommate about the concern. Interview with the Health Wellness Nurse Director indicated that on 10/21/24 9:47 PM, the facility was contacted by a resident’s family member about the incident through emails. On 10/22/24 10:51 AM, the facility and family member worked on a solution to the problem. The Health Wellness Nurse Director indicated that rooms are constantly monitored in the middle of the night and the Health Wellness Nurse Director observed a resident say someone was trying to chock him/her. When they checked resident was a sleep. On 10/22/24, 1:48 PM, the facility removed Resident #2 (R2) from resident #1 (R1’s) room. five out six residents (R1-R6), interviews indicated that when there is a resident-on-resident altercation, staff are fast to assist and resolved the issue. One out six resident interviews indicated that the facility needs to stop residents form yelling at one another in the exercise room, though the trainer resolves the issue quickly. Based on the interviews, records reviewed there was not enough sufficient of evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. There were no deficiencies cited. Exit interview conducted. A copy of the report was provided.