- Date
- 7/28/2023
- Report number
- OR0004404900
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to assure resident rights
- Result
- Substantiated
- Findings
- Review of an incident report/investigation, dated July 28, 2023, revealed an incident in which Resident 2 was found screaming in Resident 4's bathroom. A progress note dated July 29, 2023 revealed Resident 2 had an abrasion to his/her shin. There was no evidence the investigation included follow-up steps or administrator review. A review of Resident 4's progress notes revealed there was no documented evidence the facility implemented interventions for Resident 4's aggressive behaviors. It is confirmed the facility failed to document required elements of an investigation for all reports of abuse and suspected abuse and take measures necessary to protect residents and prevent the recurrence of abuse for 2 of 2 sampled residents (2 and 4).