Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
No penalty information released
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 a resident from physical abuse by another resident, as required by its own Abuse Recognition, Reporting, and Investigation policy. On the morning of 09/10/2025, one resident entered the day room and struck another resident in the face, an incident witnessed by two CNAs. The physical altercation was later confirmed by both the resident who committed the act and the staff who observed it. The facility's investigation substantiated that resident-to-resident abuse had occurred, indicating a failure to prevent physical mistreatment as outlined in facility policy.