F0610

D

Inaccurate Identification of Victim and Aggressor in Abuse Report

Caldwell, Idaho Survey Completed on 03-06-2026

Penalty

No penalty information released

Summary

The facility failed to accurately report which resident was the victim and which was the aggressor in an abuse investigation submitted to the Idaho BFS LTC Reporting System. The facility’s Abuse – Reporting & Response: No Crime Suspected policy required that reports include sufficient detail to describe the nature of the alleged violation and that new or revised information be included in follow-up submissions to ensure completeness and accuracy. An abuse report dated 11/13/25 identified Resident #13 as the victim in a resident-to-resident interaction, documenting that another resident was heard banging on a restroom door while Resident #13 was using it, that Resident #13 exited the bathroom on the other resident’s side and began yelling, and that the other resident reacted by grabbing Resident #13’s shirt without making physical contact. The report further documented that Resident #13 complained of a hurt arm, which was assessed with no injury found, and that Resident #13 was moved to a new room the same day because the facility believed she should not share a bathroom with the other resident for their safety.

Resident #13 had been re-admitted to the facility with multiple diagnoses, including schizoaffective disorder, insomnia, anxiety, depression, and dementia. A witness statement dated 11/13/25, however, documented that Resident #13 was the aggressor, entering the other resident’s room and yelling at her, and that the other resident reacted by grabbing Resident #13’s shirt. Despite this conflicting information, the abuse investigation submitted to the state continued to identify Resident #13 as the victim. During an interview on 3/5/26 at 10:21 AM, the Administrator stated he had filled out the report incorrectly and acknowledged that Resident #13 was actually the aggressor, not the victim as documented on the investigation report.