complaint·April 7, 2022

The investigation revealed the following; Allegation: Lack of supervision resulting in a physical altercation between residents. According to the Unusual Incident/Injury Report submitted by the facility, on 2/1/22, at approximately 6:45pm, R1 and R2 were both in their room when an altercation occurred. R1 had initiated a conversation with R2 at which time R2 yelled at R1 stating "I don't like talking" and proceeded to physically attack R1. Based on record reviews and interviews conducted, LPA learned that on 2/1/22, R1 was moved into the same room as R2, due to both residents testing positive for COVID. Prior to the move, both residents were informed about temporarily rooming together and presented no concerns. The incident involving R1 and R2 happened shortly after on 2/1/22, while both residents were quarantining together in the red zone. Residents and Staff interviewed confirmed that staff were not present during the incident but upon hearing the commotion, immediately assisted in breaking up the altercation and separating both residents. R1 sustained a few scratches to his face and a swollen lip but refused medical attention. Staff assisted R1 by applying fist aid. Per the Assistant Administrator, there have been no prior incidents involving R1 and R2 and both residents are independent and do not require one to one supervision. This was an isolated incident. According to the Appraisal/Needs and Services Plan for R1, R1 is listed as emotionally stable and usually keeps to himself. According to the Appraisal/Needs and Services Plan for R2, R2 is listed as emotionally stable and likes to socialize with other residents. Residents and Staff interviewed confirmed that staff could not have done anything different to prevent the incident from happening. All reporting parties were notified of the incident, including the Pasadena Police Department. The Pasadena Police Department was involved and came out and spoke with both residents. R1 refused to press charges against R2. 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. An exit interview was conducted and a copy of this report was provided.