Rehab At Scottsdale Village Square

Review of a change in condition form for Resident #9, dated December 20, 2025, revealed that Resident #9's skin had no changes and was not in pain.

The document noted the resident's physical aggression. On December 20, 2025, a behavior progress note was entered into the clinical record for resident #18 (identical note as Resident #9). It stated that Resident #18 started arguing with another resident. A nurse walked over to get between the men when they started to swing and hit each other a few times.

The two residents were separated, no injuries were noted, and the nurse would continue to monitor.Review of a change in condition form for Resident #9, dated December 20, 2025, revealed that Resident #18's skin had no changes and was not in pain.

The document noted the resident's physical aggression. An interview was conducted by telephone on December 23, 2025, at 12:14 p.m. with LPN/staff #212.

Staff #212 stated that on December 20, 2025, she was passing medications and observed Residents #9 and #18 both seated at the dinner table.

She overheard Resident #18 verbally threaten Resident #9 and immediately reacted to separate the residents. As she approached, she saw Resident #18 hit Resident #9 with his hand. Resident #9 then hit back at resident #18 until staff could separate the residents.

Staff #212 assessed both residents, and no physical injuries were noted to either resident.

Review of the facility's undated 5-day investigation report regarding the altercation that occurred on December 20, 2025, revealed that residents #9 and #18 were arguing over a female resident, and Resident #18 believed he was protecting her. An interview was conducted with Staff #31 on December 23, 2025, at 3:23 p.m.

Staff #31 stated that the altercation between Resident #9 and Resident #18 on December 20, 2025, would meet the definition of abuse and fail to meet the facility's expectations.Review of a facility policy titled, Abuse and Neglect - Clinical Protocol, revised in March of 2018, revealed that abuse was defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.Review of a policy revised in September of 2022, titled, Abuse, Neglect, Exploitation or Misappropriation - Reporting and investigating, revealed a definition of abuse being the willful infliction of injury withresulting physical harm, pain or mental anguish.

The policy further revealed a definition for willful being that an individual acted deliberately.Review of a policy revised in April of 2021, titled, Abuse, Neglect, Exploitation or Misappropriation -Prevention Program, revealed that residents have a right to be free from abuse, and the facility was committed to ensuring residents were protected from abuse by anyone, including other residents.

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