Incident investigation·December 29, 2025

On December 29, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case-management visit to follow up on an incident that occurred on 12/3/25. LPA met with Director of Health Services, Amyda Astrero and explained the purpose of the visit. The Licensee reported on 12/3/25, Staff 1 (S1) was assisting Resident 1 (R1) with care when R1 suddenly became agitated and aggressive towards S1. Resident 2 (R2) entered the room and observed R1 being aggressive towards S1. R2 kicked R1's leg and R1 slapped R2's leg. Both residents were immediately separated, assessed for injuries and were placed on behavior mapping. During the visit, LPA observed R1 and R2, discussed the incident with Director of Health Services and Assistant Director of Health Services, and reviewed both residents' files. Based on R1 and R2's file reviewed, both residents have a dementia diagnosis. Based on R1's file reviewed, R1 has a behavior of aggression/agitation and it's towards staff during care. Based on R2's file, he/she had a history of aggressive behavior, however it has improved. During the visit, LPA observed R1 walking around the community and R2 in the dining hall. According to the Director of Health Services and Assistant Director of Health Services, R2 hit R1 because he/she was trying to protect S1 from R1's aggressive behaviors. No residents had injuries noted. No citations are issued during the visit. Report is reviewed with Director of Health Services and a copy is provided.