Failure to Protect Resident from Sexual Abuse by Roommate
Penalty
Summary
A deficiency was identified when the facility failed to protect a resident from sexual abuse by another resident. The incident involved a resident who was observed by an LPN exposing and touching their private parts and inviting their roommate to participate in the inappropriate behavior. Progress notes indicated that this behavior was ongoing, with the resident continuing to grab and expose their private area to anyone entering the room. A care plan was initiated addressing the resident's sexually inappropriate behavior, with interventions to protect others, but the inappropriate conduct persisted. The roommate of the resident confirmed during an interview that they experienced an incident where the resident explicitly exposed themselves, causing discomfort. The roommate subsequently requested a room change. The facility's failure to effectively intervene and prevent further exposure to the inappropriate behavior resulted in the resident not being adequately protected from abuse.