Westwood Vlge Nrsg And Rhb Ctr

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Nursing Assistant/CNA) stated she had worked with Resident R2 but not with Resident R1. Stated she knew Resident R1. V9 said there was an encounter between Resident R1 and Resident R2 about couple of weekends ago, both Resident R1 and Resident R2 were yelling/screaming/cursing at each other. V9 stated Resident R1 said to Resident R2 shut the f*** then Resident R2 cursed back to Resident R1 stating, get the f*** out of my way. V9 said both Resident R1 and Resident R2 were exchanging F words to each other. She said both residents were separated. V9 said it was verbal abuse between Resident R1 and Resident R2 because they were yelling/screaming and cursing at each other. Stated she thought the administrator was aware of it because there were nurses who heard or witness the verbal abuse at that time. On 8/24/25 At 12:08PM V12 (CNA) stated had seen Resident R1 and Resident R2 yelling and screaming at each other and staff need to break up and control the situation. V12 said it happened about a couple of weekends ago when Resident R1 and Resident R2 passed or saw each other. V12 said Resident R2 cursed at Resident R1, stated F*** you. I am tired of this shit. I want the f*** out of here. I am tired of that b****. V12 said Resident R1 did cursed back to Resident R2 and stated F*** you, F*** off. V12 said it was a verbal abuse between Resident R1 and Resident R2 and he thought the Administrator knew about it. On 8/24/25 At 1:25PM V13 (LPN) stated she had been working with Resident R2. She said Resident R2 is alert and oriented x 3, Easily agitated, cursing, yelling and screaming to staff. Surveyor reviewed Resident R2's EHR with V13 and stated that Resident R2 had a verbal altercation with Resident R1 on 8/10/25. V13 said Resident R1 and Resident R2 were going back and forth. She said Resident R1 and Resident R2's voices were raised or were yelling at each other. V13 said Resident R2 yelled at Resident R1, Resident R2 stated leave me the F*** alone. V13 said Resident R1 was threatening Resident R2 to call the police on him and Resident R1 will put Resident R2 in jail. V13 said Resident R1 called Resident R2 N***R. She said Resident R1 does not like Resident R2. V13 said she heard Resident R1 cursing but could not identify or remember the words Resident R1 said to Resident R2. V13 said they separated both residents (Resident R1 and Resident R2). She said the Administrator was informed about the incident. V13 said the incident between Resident R1 and Resident R2 could be viewed as verbal abuse to each other due to raising of voices/yelling and threatening. Resident R2's Progress Note by V13 (LPN) dated 8/10/2025 showed in part: Resident R2 was involved in a verbal altercation with peer. This resident was

in his room when he was approached by a peer. Peer called this resident a N***r and stated she was going to call the state and the police and have this resident arrested. Peer threatened to have this resident placed

in (County jail). Resident R2 then stated leave me the f*** alone I am not bothering you. Peer continued to make inappropriate statements to Resident R2. Residents were separated at this time.On 8/24/25 At 1:54PM V15 (CNA) stated she had worked with Resident R2 but did not work with Resident R1, but she knows Resident R1. V15 said Resident R2 could be verbally and physical abusive with staff, would try to hit staff. V15 said Resident R1 and Resident R2 screamed or yelled at each other.

She said Resident R1 does not want to be around Resident R2. V15 said did not hear Resident R1 or Resident R2 cursing each other. Stated she could not recall the specific words/cursed words used by Resident R1 and Resident R2.On 8/24/25 At 2:16PM V2 (Director of Nursing/DON) she said an example of Verbal abuse is belittling, name calling, cursing, screaming/yelling at each other. She said resident in the facility should be free from abuse. On 8/24/25 At 2:29PM V1 (Administrator) stated she has been working in the facility for 32 years and she is the Abuse coordinator.

Stated Types of abuse are Physical, verbal, mental, sexual, exploitation, inv seclusion, neglect, chemical restraint. V1 said example of verbal abuse is screaming/yelling, cursing, calling out their names, demeaning/belittling resident. V1 said the goal is for all residents to be free of any abuse in the facility.

Facility's abuse prevention program policy dated 2/2017 showed in part: The facility affirms the right of our residents to be free from abuse. Verbal abuse is the use of oral language that willfully includes disparaging and derogatory terms to residents within their hearing distance, regardless of an individuals' age, ability to comprehend, or disability. Examples of verbal abuse include, but are not limited to, threats of harm, saying things to frighten a resident. Facility's residents' rights policy dated 11/18 showed in part: You must be abused, neglected, or exploited by anyone - financially, physically, verbally, mentally or sexually.

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