Complaint·November 2, 2023

(Report Continued from LIC 9099...) Regarding the allegation: Staff did not adequately supervise residents, resulting in a resident hitting another resident while in care. It was reported that Resident #1 (R1) was hit in the head by Resident #2 (R2) and facility staff did not report altercation. Record review revealed the facility had self-reported incident to the Department on 10/30/2023 regarding incident that had occurred on 10/29/2023. Incident report stated that at approximately 8:30 p.m., staff were in the dining room when they heard a loud noise coming from the living room. When staff went to see what was going on, they found R1 and R2 arguing. R1 stated R2 had slapped them on the back of the head. R2 admitted to tapping R1 on the head. Both R1 and R2 were separated, and no further incident or injuries were noted. Additionally, R1 and R2 were roommates before incident; however, after the incident, residents have been moved to separate bedrooms. Information obtained and reviewed revealed R1 was admitted to the facility on 08/29/2023 and R2 was admitted to the facility on 04/08/2023. A review of R1’s physicians report dated 08/30/2023, listed R1’s primary diagnosis as dementia and identified R1 as confused/disoriented; however, is not aggressive and is able to follow instructions and communicate their needs. Additionally, a review of R2’s physicians report dated 02/06/2023, listed R2’s primary diagnosis as dementia and type 2 diabetes and identified R2 as confused/disoriented with no inappropriate or aggressive behaviors. Interviews conducted with staff revealed prior to this incident, there had not been other incidents that involved R1 and R2. Staff stated R1 had forgotten about the incident occurring shortly as well. Interview conducted with a family member revealed that they have not had any issues with the supervision facility staff is providing the residents. Interviews with residents revealed there is staff present all around and reported feeling safe. Further interviews revealed five out of five residents did not express any concerns about living at the facility. Based on the information gathered during the course of the investigation, the Department does not have sufficient evidence to support the allegation of ‘staff did not adequately supervise residents, resulting in a resident hitting another resident while in care’. Therefore, this allegation is being deemed Unsubstantiated at this time. Exit interview conducted. No citations issued at this time. A copy of the report was issued.