Incident investigation·March 5, 2024

LPA Johnson arrived to the facility unannounced to conduct a Case management visit regarding a self reported incident that occurred on 2/26/2024. SIR, details R1 visit to the ER for a headache on 2/26/2024, while at the ER, R1 informed the hospital that there was an altercation with the roommate and that is the reason for the visit to the ER. The facility was unaware of the altercation until 2/27/2024. The facility reviewed the discharge papers on 2/27/2024 and this is when the situation was discovered. The facility took action and notified the police department and the resident was moved to another room. No deficiencies were cited on today's date. LPA was able to obtained copies of resident's service plan and other pertinent information. Exit interview conducted.