Fair Oaks Healthcare Center

During a concurrent observation and interview on 9/9/25 at 1:19 p.m. in Resident 2's room with the Treatment Nurse (TN), Resident 2 made a fist of both hands, and stated, Come here and I will hit you in the face.

The TN witnessed the behavior and redirected Resident 2.During a concurrent interview and record review on 9/9/25 at 1:51 p.m. with the Social Services Director (SSD), Resident 2's clinical record was reviewed.

The SSD confirmed Resident 2 had aggressive behavior and got agitated for no reason at all.

The SSD confirmed Resident 2 had incidents of being abusive and stated when Resident 2 remained abusive, other residents could isolate themselves for fear and could stop attending activities.

The SSD stated that when other residents were fearful of roaming around the facility freely, the residents could become more depressed and lonelier and remained in their rooms for fear of Resident 2's aggressive/abusive behavior.

The SSD stated, No resident should be subjected to any kind of abuse.

During an interview on 9/9/25 at 2:30 p.m. with the Director of Nursing (DON), the DON stated no one should be subjected to any kind of abuse.

During a review of the facility's policy and procedure (P&P) titled Resident Rights and Abuse Prevention Policy and Procedure Manual dated 4/2021, the P&P indicated, Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation.

This includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse, and physical or chemical restraint not required to treat the resident's symptoms.

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