Unique Rehabilitation And Health Center Llc

the investigation of the unreported altercation between Resident# 1 and #2. - The Psychiatrist was notified of Resident #1 altercation with Resident #2, and both Residents were assessed by the Psychiatrist. In addition, the Psychiatrist made - Mandatory education and training in-services were conducted on abuse and reporting incidents of unknown origin, starting with evening staff on 09/05/25. - Care plans for Residents #1 and #2 were updated.- A Performance Improvement Plan (PIP) for the facility was initiated.

The PIP included a root cause analysis, away to track and improve On 09/08/25 the following interventions were implemented:- Implemented an audit tool for all residents in the facility for Allegations of Abuse, Identifying and Reporting Abuse and Injuries of Unknown Origin, and Reporting Changes. 100% audit was completed for Weeks 1 with no additional concerns identified.

Weekly audits were to continue thereafter for 4 weeks x 2 months.- Psychiatrist provided additional n-service training on providing care for Residents with Dementia. On 09/11/25 the following interventions were implemented:- The investigation for Incident # was completed.- Employee#4 Charge Nurse for Resident #1 was terminated for failure to report an injury of unknown origin.- Employee #6 Assigned CNA for Resident on 08/30/25 was terminated, for failure to report a resident-to-resident altercation to the Charge Nurse. On 09/17/25, 90% of all facility staff had received the in-service training on Abuse, and on 09/18/25, 100% of all facility staff had received the in-service training on, Abuse, Identifying and Reporting Abuse and Injuries of Unknown Origin, and Reporting Changes.Corrective actions were implemented and monitored, with ongoing oversight by the QAPI committee through November 30, 2025.

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