Falcon Heights Rehabilitation And Nursing Llc

interventions included administering medications as ordered, anticipating and meeting resident needs,

episodes, intervening to protect other residents (initiated 2/10/25) and monitoring one-to-one for

Resident #10 had been in an altercation with Resident #11 outside in the smoking area. A staff member supervising the smoking break observed Resident #10 grab Resident #11 by the shirt and punch him multiple times.

The nurses documented Resident #10 told her Resident #11 had swung his leg towards his chest.

The progress note revealed the nurse completed an assessment and documented Resident #10 had no injuries from the altercation.The 2/16/26 IDT progress note revealed the cause of the altercation between Resident #11 and Resident #10 was due to a misunderstanding of personal space in close physical proximity to each other.

The IDT initiated new interventions and placed Resident #10 on one-to-one monitoring when outside of his room.IV.

Staff interviewsThe NHA, the operations director and the director of nursing (DON) were interviewed together on 2/25/26 at 4:45 p.m.

The NHA said the altercation between Resident #7 and Resident #9 occurred in the dining room while residents were waiting for their dinner.

The operations director said a staff member reported she observed Resident #9 punch Resident #7 on the chest and shoulder.

The operations director said after the altercation, staff responded immediately by separating the residents.

The operations director said the nurse assessed both residents and neither resident had injuries.

The NHA said Resident #9 was placed on one-on-one supervision for prevention of additional altercations.

The NHA said resident #9 would remain on one-on-one supervision until the IDT reviewed behaviors and determined that less monitoring was appropriate.

The DON said there were no additional altercations between Resident #7 and Resident #9.

The DON said Resident #9 had occasional verbal aggression with staff during care that resolved when staff redirected or re-approached Resident #9.

The NHA said the altercation between Resident #10 and Resident #11 occurred outside in the smoking area.

The operations director said the altercation was observed by a staff member supervising the smoking break and said the altercation occurred quickly, and the staff member was unable to intervene in time to prevent Resident #10 from hitting Resident #11.

The operations director said after the altercation, Resident #10 and Resident #11 were separated, assessed by the nurse and had no injuries.

The operations director said Resident #10 was placed on one-to-one supervision for resident safety.

The operations director said that in response to the altercation, the facility initiated a policy change to require two staff members to monitor smoking breaks when the smoking group exceeded five residents.

The NHA said Resident #10 agreed to a referral to another long-term care facility and transferred on 2/26/26.

The DON said neither victim, Resident #7 or Resident #11, had injuries or changes to their mood or behaviors after the altercations.