On 6/13/2024, the Department received a self-reported incident report that described a morning incident of a resident. The incident report stated that Resident 1 (R1) was yelling at a staff member, propelling their wheelchair into a staff member, combative and pulling staff member hair. It was also noted that bruising to the left hand was present and was checked by the LVN on site. R1 was redirected and offered breakfast in a communal Setting. Due to agitation, offered resident to assist back to their room. Resident started to yell and became combative as entering the elevator. All parties, including Responsible party, agreed to have R1 medically evaluated at local hospital.

Physician’s report dated 11/3/2022 indicates a diagnosis of dementia and has exhibited Sundowners. The report also indicates R1 can become disruptive/argumentative during activity and may exhibit frustration. Progress notes indicate R1 had only been a resident of the facility for one day when behaviors started to appear. The facility took appropriate action and accommodated said behaviors to ensure the safety of other residents.

interviews with staff indicate numerous attempts to redirect R1’s combative behaviors in a non-threatening or rough manner. Interviews with residents in the facility were conducted. These sources did not witness the facility treat any resident without respect or witness any rough handling by staff. Investigative interviews with outside source revealed that R1 is easily startled and will often become combative when R1 feels startled. The Department interviewed R1 on July 23, 2024 and was able to confirm R1 feels safe and comfortable. Additionally, no injuries were reported or observed on R1 during the interview.