North Pointe Care Center

During an interview with Physical Therapy Staff (PTS) on 9/26/25, at 1:17 p.m., PTS stated he worked with Resident 2 frequently and in order for the resident to participate in therapy the resident had to be in good mood.

The PTS added, I have not seen anything physical, but he is verbally aggressive to other residents; I've seen on multiple occasions.

The PTS stated that he was working with another resident in the morning on 9/10/25 when he met Resident 2 near nursing station 2.

The PTS added, He seemed on the verge of being very angry, was loudly talking to himself. I heard him saying something like hurting my roommate.

During an interview with CNA 1 on 9/26/25, at 1:45 p.m., CNA 1 stated that when she went to check on Resident 1 on 9/10/25 the resident was in bed. CNA 1 stated when she entered the resident's room, Resident 1 pointed to his face and said, look at my face. CNA 1 added that Resident 1's face was bloody, the face and nose were red and right side of the face was swollen.He pointed to his roommate's bed, closer to the door but did not say what happened. A review of the facility's 'Abuse Prevention Program,' with revision date of 8/2006 indicated, Our residents have the rights to be free from abuse .Our facility is committed to protecting our residents from abuse by anyone including, but not necessarily limited to .other residents.A concurrent interview and review of Resident 2's clinical record was conducted with Administrator (ADM) on 9/30/25, at 3:05 p.m.

Upon reviewing nursing progress notes dated 8/3/25, 8/4/25, 8/11/25, 8/20/25, and 9/6/25 the ADM stated he was aware of Resident 2's multiple verbal aggressive behaviors toward Resident 1.

The ADM added, [Resident 2's name] had history of threatening his roommate, but never done anything physical.

The ADM agreed that Resident 2's verbal aggression and threatening placed Resident 1's safety at risk.

The ADM confirmed that on 9/10/25 Resident 1 was found in his room with swollen bloody face and multiple facial lacerations.

The ADM added, The incident happened, but we can't say for sure that it was [Resident 2] that hit [Resident 1], he might have injured himself.

The ADM acknowledged that the facility was responsible for keeping all residents safe.

When asked about interventions to keep Resident 1 safe, the ADM stated the staff were to provide snacks, redirect, and engage Resident 2 in activities.

When asked if the interventions were effective, the ADM did not respond.A review of the facility's policy titled, Safety and Supervision of Residents, revised 7/2017, indicated, Resident safety and supervision.are facility-wide priorities.Safety risks.are identified on an ongoing basis.Resident supervision is a core component of the system approach to safety.The type and frequency of resident supervision may vary.Resident supervision may need to be increased when.there is a change in the resident's condition.

Facility ID: