Interviews with facility residents revealed that no one witnessed the incident, but overall, residents felt safe residing at the facility. Residents did not express any immediate or major concerns regarding lack of supervision. Residents felt that staff would intervene as needed and believed there were sufficient staff monitoring the facility. Some residents mentioned that they kept their distance from C2, but ultimately denied claims of having negative interactions with C2.

Staff interviews revealed that staff were not in the immediate area when the incident happened. Staff felt that it was an isolated incident because in general, C2 has not had many altercations with other residents in the past. Staff noted that they would intervene appropriately if they observed a verbal or physical altercation. The records review revealed that neither C1 nor C2 required 1:1 supervision at the time of the incident. There was no documentation to support claims that C1 had exhibited aggressive behavior towards others, and staff claimed that C1 did not exhibit aggressive tendencies. An interview with C2’s case manager revealed that they believed the 10/03 incident was an isolated incident, as C2 was described as someone who stayed to themselves and said hitting another resident was out of character for C2. C2’s case manager believed that staff appropriately supervised C2 and said facility staff were communicative regarding any change of behavior pertaining to C2.

Based on the investigation, there is insufficient evidence to support the claim that due to lack of care and supervision, C1 was hit by C2. This allegation is deemed Unsubstantiated at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.