Incident investigation·October 8, 2025

On October 8, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case management visit in relation to an incident that occurred on 9/26/25. LPA met with Administrator, Robert Snee and explained the purpose of the visit. On 9/26/25, the Licensee reported Resident 1 (R1) was standing in the dining room when Resident 2 (R2) came up to R1 and leaned his/her head over R1's shoulder. It was observed that R1 punched R2 on the left side of his/her face. Both residents were immediately separated. According to R1, R2 punched him/her first. During the investigation, LPA reviewed R1 and R2's file, observed both residents, and reviewed care plans. Based on both resident's files, R1 and R2 have a diagnosis of dementia. Based on records reviewed, this is the second altercation incident between R1 and R2. According to staff interviewed, verbal training was conducted to ensure both residents are seated separately/ are separated at all times. R2 was seen by his/her physician and there was a medication adjustment. LPA observed both R2 walking around in the courtyard and R1 was observed participating in activities. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.