Complaint·April 15, 2026

A1 stated there were no signs of tension or conflict between R1 and R2. Staff 1 (S1) corroborated that an altercation occurred and staff monitored R1 to identify a more suitable accommodation. S1 stated R1 was not aggressive toward others and directed outbursts toward himself. S1 also reported that R1 self-disclosed the physical altercation with R2 and staff followed procedures to address the incident. No further information was obtained on what led to the physical incident between the residents. Interview with R1’s Responsible Party (RP) confirmed being informed by staff about R1’s concerning behaviors. RP emphasized that staff communicated well regarding R1’s concerning behaviors, which ultimately supported the decision to pursue a higher level of care focused on R1’s mental health needs. Information was unable to be obtained from R1 as they declined and R2 was unable to be contacted. A review of records showed that assessments for R1 were completed, indicating that staff monitoring may be required due to R1’s mental health diagnosis. Additionally, Special Incident Reports, regarding the altercation, were reviewed. The review revealed that staff followed appropriate response procedures, including contacting law enforcement and providing medical assistance to R2. Based on interviews, observations, and record reviews, the allegation that facility staff did not prevent a resident from hitting another resident in care has been deemed UNSUBSTANTIATED. A finding that the allegation is unsubstantiated, means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of this report was provided to Facility Manager, Ahmed Salam.