Fargo Health Care Center

counselled to report grievances. R3's progress note also showed in part that the police department

to be transferred for behavioral evaluation.R3's Progress Note (1/27/2026 at 2:13 am) showed in part

Aggression and that resident would be discharged from the facility.R3's Care plan (12/13/2025) showed in part that R3 has potential to exhibit inappropriate behavioral problems and that R3 would be monitored for adjustment. R3's care plan also showed in part that R3 should be supervised while in the community and have restricted independent pass privileges.R3's Abuse Risk Assessment (12/17/2025) showed in part a yes answer to denial when discussing mental health issues and is minimizing significance of mental health and psychosocial issues.R3's document titled Petition for Involuntary/Judicial Admission (1/26/2026), filled out by V3 (PRSD) showed in part emergency inpatient admission by certificate and that R3 was involved in a physical altercation with another resident and that R3 became physically aggressive and engaged in behaviors that pose immediate risk to the safety of others.R3's handwritten statement (1/26/2026) showed in part that R3 asked for a lighter and was told by R2 to get lighter from inside of the facility and R3 said that R3 is not talking to R2 and that R3 and R2 started arguing and R3 felt threatened and hit R2 because R2 was standing too close to R3's face and R3 was defending self.Facility's document titled Security Staff Job Duty Instructions (Undated), showed in part purpose to ensure accurate monitoring, documentation and reporting of all residents to maintain safety.Facility's document titled Facility Smoking Safety Policy (Revised 2026) showed in part that objection is to provide a safe and healthy living environment with respect for the health and well-being needs of each resident and that the facility recognizes potential harm that could result from careless smoking and implemented smoking policy to maintain a safe living environment.Facility's document titled Resident's Rights Policy (Reviewed 1/2026), showed in part that the purpose is that no resident should be deprived of any rights that are guaranteed by the law and that the residents have the right to be free of abuse.Facility's document titled Rounds Policy (Revised 12/2025) showed in part that daily rounds should be conducted to ensure residents are monitored every hour or as needed depending on resident's condition and that residents should be monitored hourly during rounds.Facility's document titled Abuse Prevention Program Facility Procedures (11/18/2016), showed in part that abuse is defined as the willful infliction of injury with resulting physical harm and includes verbal abuse and physical abuse.

Policy also showed in part that the facility should prevent abuse by establishing a resident sensitive and secure environment by supervising and monitoring the ability of the staff to meet resident's needs and correcting situations involving inappropriate language or insensitive handling at the time situations occur.Facility's document titled Abuse and Retaliation Policy Prevention Program (1/2026), showed in part that the facility confirms the right or residents to be free from abuse and that facility prohibits abuse of residents by attempting to establish a resident-secure environment and ensuring that the facility is doing everything to prevent occurrences of abuse and should be immediately protecting residents involved in possible abuse.

Policy showed in part that physical abuse is infliction of injury to a resident that occurs other than by accidental means and requires medical attention and includes but not limited to hitting and that verbal abuse is using oral or gestured language that deliberately includes derogatory term to residents and that facility should tall every step needed to ensure that residents are safe.