Failure to Protect Resident from Physical Abuse
Penalty
Summary
A resident with cognitive impairment was involved in a physical altercation with another resident who is alert and oriented but has a history of emotional regulation issues and aggressive behavior. The incident occurred when the cognitively impaired resident attempted to cut in line, prompting the other resident to push them, resulting in a fall. Both residents' care plans documented their respective behavioral and cognitive challenges, including poor impulse control and a tendency toward aggression. Despite the altercation, facility staff failed to notify the administrator or implement any interventions following the incident. The registered nurse did not report the event, and an investigation was not initiated until the administrator was informed at a later date. This lack of timely response and failure to follow abuse prevention protocols resulted in the facility not protecting the resident from physical abuse as required by policy.