Rim Country Health & Retirement Community

would be to remove the patients, calm the situation, and notify the nurse and DON right away.

The

saw through the window that Resident #50 was standing up behind Resident #34 and was grabbing

and they informed the DON right away after separating the residents.

The CNA stated that Resident #50 was irritated with Resident #34, and she put her hands on her.

The CNA stated that they did not know that Resident #50 wheeled herself into the dining room, and there were no staff in the dining room at that time.

The CNA stated that from as far away as he was, it appeared Resident #50 was choking Resident #34, but he did not think she had the strength to do it.

The CNA also stated that Resident #50 hit Resident #34's nose in the altercation, and the nurse assessed both of the residents because Resident #34 was bleeding from her nose.

The CNA stated that moving forward, they decided that there would always be someone in the dining room to make sure residents did not wander in alone. An interview was conducted on December 30, 2025, at 2:58 p.m. with the Administrator (Administrator/Staff#73), who stated that they had a resident-to-resident altercation between Residents #50 and #34.

The administrator stated that the nurse was giving medications, the staff were trying to get residents to the dining room, and a CNA was talking to a family member when Resident #50 came up behind Resident #34 and grabbed her on the neck and shoulders.

The administrator further stated that Resident #50's forearm hit Resident #34's face, and there were no injuries noted on either of the residents.

The administrator stated and motioned that the altercation described to him by the CNA appeared to resemble a headlock, and Staff #28 witnessed the altercation from the nurses' station outside the dining room, called for help, and they separated the residents.

The administrator stated that they concluded that the altercation was verified because it was witnessed and did happen, they did a medication review with the psychiatrist following the incident, and have seen some differences in the resident's behavior. An interview was conducted on December 30, 2025, at 3:29 p.m. with the Director of Nursing (DON/Staff#56), who stated that there was a resident-to-resident altercation between Resident #34 and Resident #50 in the dining room.

The DON stated that, according to staff, Staff #28 was bringing someone back into the dining room when he saw Resident #50 standing up behind Resident #34 with her hands on Resident #34's neck and shoulders before he yelled to Staff #10 to run in to help.

The DON stated that the investigation was substantiated because the resident was observed putting her hands on another resident. A review of a policy titled, Summary of Resident Rights, had a review date of February 5, 2024, and revealed that residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation.

This included, but was not limited to, freedom from corporal punishment, involuntary seclusion, any physical or chemical restraint not required to treat resident symptoms, verbal, mental, sexual, or physical abuse.A review of a policy titled, Resident Abuse and Neglect, had a review date of August 2, 2024, and revealed that the facility was committed to the physical, mental, social, and emotional well-being of the resident and had developed a zero-tolerance policy related to resident abuse.

The policy further revealed that any incident or suspected incident of resident abuse would be reported promptly to the appropriate agencies and individuals, the Director of Nursing and Administrator.

The policy also revealed that it would not tolerate abuse by anyone, including but not limited to staff, other residents, consultants, volunteers, staff of other agencies serving the resident, family members, legal guardians, friends, or other individuals.