Grafton Oaks Nursing Center

During an interview on 09/10/25, at 1:00 P. M., the Administrator stated HK #110 and #115 were no longer employed with the facility because they did not follow the Health Insurance Portability and Accountability Act (HIPAA) privacy rules and discussed the incident between Resident #10 and Resident #12 with other staff and residents.

Attempts to reach HK #110 and #115 on 09/10/25 and 09/11/25 via telephone for interview were unsuccessful.

During an interview on 09/10/25, at 3:15 P. M., Detective #118 stated he arrived at the facility on 08/29/25 and interviewed Resident #12 and he realized within minutes the resident had severe dementia as she could not recall a male resident had been in her room and touched her.

Detective #118 stated he then interviewed Resident #10 who confirmed he did touch Resident #12 with his mouth on her breast, chest and stomach area. Resident #10 reported he was unaware Resident #12 suffered from dementia.

Detective #118 confirmed he then read Resident #10 his rights and handcuffed and arrested the resident for gross sexual imposition. Resident #10 left the facility with Detective #118.

Review of facility policy titled Resident Rights to Freedom from Abuse.

Neglect, and Exploitation undated revealed the facility residents had the right to be free from abuse.

The facility would ensure residents were free from sexual aggressive behavior such as inappropriate sexual touching and grabbing.

Anytime the facility had reason to suspect a resident might not have the capacity to consent to sexual activity, the facility would take steps to ensure the resident was protected from abuse.

This deficiency represents non-compliance investigated under Complaint Number 2610266.

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