Community Care Center

During a review of HS 1's employee file, the file indicated the following:? -? ?Patient's Rights Policy dated 11/6/2018 and signed by HS 1, indicated staff may not verbally or physically abuse any patient for any reason.

The policy indicated staff may not verbally or physically strike a patient intentionally because they are angry or for any other reason.

The policy indicated staff must have a great deal of patience and not be influenced to react to a patient's behavior by verbally or physically striking the patient.? - ? ?Walk Away Policy dated 11/6/2018 and signed by HS 1, indicated that any staff member who becomes frustrated when assisting a resident must walk away from the situation.

The policy indicated if at any time a staff member becomes frustrated with a resident, he or she must walk away from the situation immediately and seek assistance.

During an interview on 9/12/2025 at 10:19 AM, the Administrator (ADM) stated Resident 1 was already verbally aggressive towards HK 1, and that HS 1 should not have responded to Resident 1 by returning the verbal abuse since it could escalate verbal abuse to physical abuse.

The ADM stated HS 1 would be terminated

During an interview on 9/12/2025 at 10:39 AM with PC 1, PC 1 stated he heard a commotion from nursing station 1 and observed Resident 1 being verbally aggressive towards HS 1. PC 1 stated both Resident 1 and HS 1 were yelling at each other. PC 1 stated he separated Resident 1 and HS 1 to prevent situation from escalating.

During a telephone interview on 9/12/2025 at 10:52 AM with HS 1, HS 1 stated as he was coming out of the janitor's closet, he heard Resident 1 yelling and was upset about the toilet paper. HS 1 stated Resident 1 was yelling at HK 1, and when HS 1 tried to talk to Resident 1 to deescalate the situation, Resident 1 came closer, and said fuck you, you faggot, she's (HK 1) a bitch. HS 1 stated he tried to calm Resident 1 down and explained the protocols when housekeeping provides toilet paper to the residents. HS 1 stated Resident 1 continued yelling and HS 1 said to Resident 1 man, shut the fuck up already, and walked back to the janitor closet.? During an interview on 9/12/2025 at 11:20 AM, infection prevention nurse (IPN) stated Resident 1 could get aggressive and had the tendency to antagonize others. IPN stated Resident 1 was verbally aggressive, and when witnessed, staff must try to deescalate the situation, but also walk away and call for someone to assist the resident to calm down. IPN to prevent further incidents, de-escalation of the situation must be done.

During an interview on 9/12/2025 at 11:28 AM with Resident 1, Resident 1 stated he complained to HS 1 about toiled paper and HS 1 got mad and started shouting. Resident 1 stated because HS 1 started shouting it got me mad, so I started shouting back at him. Resident 1 stated he could not recall what was said, but stated staff separated Resident 1 and HS 1. Resident 1 stated the incident made him feel mad because he did not understand why HS 1 raised his voice.? A review of facility's policy and procedure (P&P) titled Abuse, Neglect, Exploitation and Misappropriation Prevention Program, dated 4/2021 indicated residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual, physical abuse, and physical or chemical restraint not required to treat resident's symptoms.?

Facility ID:

05A109