Bria Of Belleville

living. R3 has impairment on both her upper and lower extremities, she uses a walker and wheelchair; She requires minimal assist to supervision for most ADL's (activities of daily living). R3's Care Plan: Abuse with a revision date of 8/28/2024 document, (R3) is at risk for abuse and neglect r/t (related to) DM (diabetes mellitus), neuropathy, morbid obesity, CKD3, cardiomegaly/HTN. R3's altercation on 8/21/2025 was not addressed on her care plan. On 9/19/2025 at 11:40 AM, R3 stated, I used to be in another room. I liked to have the curtain pulled all the way. At that time (R7) was my roommate and she was friends with (R1). (R1) liked to push (R7) in her wheelchair and every time she would come into the room she would move the curtain. I told her to stop moving the curtain and she would not listen and the next time she came in the room and moved the curtain I got mad and smacked her one because she would not listen. R3's Final Report document (R3) is a [AGE] year-old female resident.

She admitted (Facility) on 8/26/2024.

She is alert and oriented x 4.

Her BIMS (brief interview for mental status) score is 15 (15/15).

She is able to ambulate short distances with a walker, but primary mode of locomotion is a wheelchair.

She requires minimal assist to supervision for most ADL's (activities of daily living).

Her diagnosis includes type 2 diabetes morbid obesity, chronic respiratory failure, major depression disorder, anemia, hyperparathyroidism and chronic kidney disease. On 8/21/225 at approximately 1:35 PM residents were involved in a verbal disagreement which resulted in one resident making physical contact with the other residents.

Staff intervened immediately, both residents were interviewed and assessed by staff.

Neither resident had any injures and both stated they feel safe in the facility. (V8) reported that she was taking (R3) back to her room and there was another resident (R1) in the room. (R3) told (R1) not to move her curtain. (V7) stated that she heard a CNA hollering and she turned and saw (V8) holding back resident (R3). (V7) placed herself between the two residents and calmly asked (R1) to remove herself in the room. (R1) grabbed her walker and left the room.

The Facility Abuse Policy 2022 documents, This facility affirms the right of our residents to be free from abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff or mistreatment.

This facility therefore prohibits abuse, neglect, exploitation, misappropriation of property, and mistreatment of residents. In order to do so, the facility has attempted to establish a resident sensitive and resident secure environment.

The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff and mistreatment of residents.

Abuse: Abuse means any physical or mental injury or sexual assault inflicted upon a resident other than by accidental means (210 ILCS 45/1-103).

Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish to a resident (42 CFR 483.5).

This also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain and/or maintain physical, mental, and psychosocial well-being.

This assumes that all instances of abuse of residents, even those in a coma, cause physical harm or pain or mental anguish (42 CFR 483.12 Interpretive Guidelines).

The term willful in the definition of abuse means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm. (42 CFR 483.5).

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