F0600

D

Failure to Prevent Resident-to-Resident Physical and Verbal Abuse

Chillicothe, Illinois Survey Completed on 03-04-2026

Penalty

No penalty information released

Summary

The facility failed to protect residents from abuse when two residents engaged in a physical and verbal altercation in the dining room. On 2/11/26 at approximately 2:40 p.m., the facility was notified of alleged resident-to-resident contact between R7 and R8, and an initial abuse investigation documented that the residents were separated immediately. The final abuse investigation dated 2/12/26 states that R7 reported she did not like a conversation R8 was having with another resident, that R8 gave her the middle finger and told her to mind her own business, then used an open hand to make physical contact with her stomach, after which R7 made physical contact with R8’s chest with her left hand. Facility interviews document that a visitor (V11) saw R7 trying to hit R8 while both were yelling, that R8 tried hitting or hit R7 and R7 continued trying to reach for R8, and that the HR staff member (V10) observed R7 hit R8 in the chest with her fist and then saw R8 start swinging back at R7. Two staff members overheard the argument in the dining room and separated the residents, and the Administrator later acknowledged there had been resident-to-resident abuse involving R7 and R8 that was reported to the state. R7 subsequently stated she had a verbal issue with R8 and that he hit her in the stomach after giving her the middle finger. The facility’s Abuse Prevention and Reporting policy affirms residents’ right to be free from abuse and defines abuse as the willful infliction of injury, but the incident demonstrates that residents were subjected to physical and verbal abuse by another resident.