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32 | S1 was interviewed and reported the following information. The incident occurred on 01/02/2026 not 01/03/2026 as alleged and was an isolated incident involving R2. On 01/02/2026, S1 was speaking with a hospice nurse in the kitchen when they observed the incident as described in the LIC 624. S1 and the nurse immediately responded to the scene, separated and redirected the residents, assessed R2 for injuries/pain, and called law enforcement and Administrator Banovic. R1 claimed to have a gun and threatened to kill R2. However, R1 does not own a gun, nor did they have the means to go out to purchase one. R1 has resided in the facility since October 2025 and prior to this incident, R1 had not exhibited any signs of aggression in the past. Law enforcement and administrator responded to the facility, and law enforcement determined that due to R1’s cognitive impairment and limited physical capabilities, R1 was not realistically able to gain access to a firearm to carry out the threat. Law enforcement advised S1 to follow up with the Crisis Response Team (CRT) and request an evaluation for R1. Law enforcement determined it was safe for R1 remain in the facility pending CRTs evaluation. As a result, S1 was assigned by administrator to provide 1:1 care and supervision to R1 to ensure the safety of R2 and the remaining residents pending the CRTs evaluation results. A witness interview was conducted with the hospice nurse identified from the LIC 624. This witness corroborated the information provided by S1 and added they also assessed R2 for injuries. The witness reported they have visited R2 in the facility twice a week since 02/01/2025 and have never witnessed R1 or any other resident make verbal threats or display physical aggression towards R1 or other residents. Administrator was interviewed, corroborated the information provided by S1 and added the following information. There are no firearms stored in the facility. On 01/03/2026, S1 contacted CRT due to R1 aggressing towards staff. Law enforcement responded to the facility and determined it was safe for R1 to remain in the facility pending their CRT evaluation scheduled for 01/04/2026. On 01/04/2026, R1 was hospitalized as a result of the CRT evaluation. Administrator reported they ensured the safety of all residents in care and even offered R1 a private room to avoid further possible incidents by residing with a roommate, to which R1 accepted. Administrator maintained contact with R1’s responsible person who was in the process of arranging for R1 to also be evaluated by their primary care physician. LPA conducted an interview with R1’s responsible person who reported facility staff have done a fantastic job despite current difficult circumstances. R1’s responsible person reported prior to this incident, R1 did not display any aggression. They reported R1 does not own a firearm, has never touched one, and is not able to gain access to one. |