Complaint Investigation Report

designated Administrator and facility staff were well aware of this and always maintained line of sight with R1 at all times.

It was learned that facility staff were also recently trained and updated for workplace violence and de-escalation training. In addition, all facility staff providing care and supervision to the residents in care were trained in Professional Adult Crisis Training (Pro-Act).

It was learned that on the date of the altercation, R1 arrived back to this facility already in a foul mood. R1 was looking to take out this foul mood and found a target in R2 who was sitting alone on the couch. Facility staff was present and instructed R2 to flee the area once it was observed that R1 was engaging in an outburst and physically seeking someone as a target.

It was learned that facility staff were present and able to remove R2 from the initial physical attempt but R1 continued to chase R2 which resulted in both of them stumbling over a chair. This resulted in R1 landing on top of R2 which caused R2 to sustain the (4) broken ribs.

It was learned that facility staff were present and tried to de-escalate the situation when it was observed that R1 was in a foul mood.

Based on the evidence obtained, the altercation was not a result of a lack of care or supervision by the facility staff. Staff sufficiently monitored the residents and took the necessary steps to provide medical attention after the injury was sustained.

As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegation may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited during today's complaint visit at this time.