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F0600
D

Failure to Protect Residents from Sexual and Physical Abuse

Joliet, Illinois Survey Completed on 04-25-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to protect three residents from sexual and physical abuse. One resident, who was cognitively intact and had diagnoses including PTSD, schizoaffective disorder, anxiety, and borderline personality disorder, reported that another resident with similar psychiatric diagnoses and a history of substance use entered her room and touched her inappropriately by grabbing her breast. The incident occurred after the residents had consumed alcohol together. The resident responded by kicking the perpetrator and later reported the incident to facility staff, after which the police were called. Additionally, the same resident slapped her boyfriend, another resident, because she believed he allowed the inappropriate contact to occur. The boyfriend confirmed being slapped but denied injury or pain and declined police intervention. Both incidents were reported to the Illinois Department of Public Health. The facility's abuse policy states a commitment to protecting residents from abuse by anyone, but the events described demonstrate a failure to uphold this policy, resulting in residents being subjected to both sexual and physical abuse by peers.

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