Friendship Rehab And Health

During an interview completed on 4/30/26, at 2:36 p.m. upon asking RN Employee E10 the process if a resident is exhibiting aggressive behaviors stated, we are not allowed to restrain. I would ask for assistance, take the resident to a no-resident area, talk to the resident deescalate, see if someone else can help, find out what was triggering them and remove it If a resident fell, I would not restrain them to the ground.

During an interview completed on 4/30/26, at 2:42 p.m. upon asking Licensed Practical Nurse (LPN) Employee E11 the process if a resident was exhibiting aggressive behaviors stated, back off, I'm not allowed to protect myself so I would back off and try to talk them down. I would expect to see interventions in the care plan. I would try to fix the trigger to calm down.

During an interview completed 4/30/26, at 2:46 p.m.

Upon asking RN Employee E12 the process if a resident is exhibiting aggressive behaviors stated, walk away, make sure they are safe, sometimes it's the approach, can call the physician. If I knew the cause I would remove it or the resident from it. If they wanted to fight, I would wait for them to calm down not allowed to restrain them for anything.

During an interview completed on 4/30/26, at 2:50 pm upon asking LPN Employee E6 the process if a resident is exhibiting aggressive behaviors stated, I would look in the orders or care plans, call the supervisor to come down and help.

Remove the trigger.

During an interview completed on 4/30/26, at 2:56 p.m. upon asking LPN Employee E7 the process if a resident is exhibiting aggressive behaviors stated, I would try to redirect, give them time to cool off, let them walk around, remove other residents, call the physician the care plan should have interventions it depends on what is agitating them.

Remove what is bothering, just give them time.

During an interview completed on 4/30/26, at 3:00 p.m. upon asking LPN Employee E8 the process if a resident is exhibiting aggressive behaviors stated, I would see what was wrong, try to find the reason and remove what was agitating them. I would look in the care plan, progress notes, check the medication administration record (MAR).

During an interview completed on 4/30/26, at 4:13 p.m. upon asking NA Employee E15 if she could recall an altercation that happened with Resident R1 replied that night we had a fall in the room, The roommate had a fall so we moved his wheelchair. I was in another room and heard him yelling, the NA was trying to explain to the resident that the chair can't be over by the resident explaining it really calmy, He was really mad about it, the nurse came in and tried to calm him down.

The resident went to the bathroom, maybe it was like 5 minutes, and he ran out of the bathroom down to the nursing station. He attempted to hit the nurse.

The nurse was trying to calm him down.

There was a lot of commotion. I saw the nurse use a hand to try and stop him. He put him to the floor.

When the resident was on the ground he was still punching.

The nurse was holding his arms down. He calmed down when the supervisor came to the floor.

During an interview completed on 4/30/26, at approximately 2:00 p.m. the Director of Nursing confirmed the investigation was not complete and stated I have been working on a plan of correction and have not completed the investigation. I am not going to substantiate, at what point do we protect our employees and confirmed that the facility failed to protect a resident from physical abuse that resulted in actual harm of left comminuted displaced intertrochanteric fracture that required surgery for one of three residents (Resident R1). 28 Pa.

Code 201.14(a) Responsibility of Licensee.28 Pa.

Code 201.18(b)(1)(3) Management.28 Pa.

Code 201.29(a)(c)(d)(j) Resident Rights28 Pa.

Code 211.10(c)(d) Resident Care Policies.28 Pa.

Code 211.12(d)(1)(3) Nursing services.

395015 04/30/2026

Friendship Rehab and Health 246 Friendship Circle Beaver, PA 15009