Whitesboro Health And Rehabilitation Center

During an interview on 01/30/2026 at 12:25

with Resident #1.

Neither resident had any memory of the incident.

During a telephone interview on

remembered CNA F telling him Resident #2 was sitting on the couch and Resident #1 swung at him.

He stated after CNA F separated the residents and notified him; he assessed Resident #1 and Resident #2.

There was no injury to either resident. He stated they kept the residents separated and continued to monitor Resident #1. He stated another incident happened a while back, but he did not remember the details. He stated he put notes in the chart about what CNA F told him at the time. He stated Resident #2 had behaviors when the aides tried to change him, but he had not hit another resident. LVN E stated the facility had in-service training related to abuse, neglect, and resident altercations. He stated when a resident was upset, it was important to talk low and calm, and to re-direct. He stated any abuse should be reported to the Administrator, who was the Abuse Coordinator.

During a telephone interview on 02/02/2026 at 11:27 AM, the DON stated she was called and told Resident #2 swatted at Resident #1.

She stated they were unsure if Resident #1 was hit, and on the side of caution, reported the incident.

She stated Resident #1 and Resident #2 were immediately separated, and Resident #2 was placed on 1:1 monitoring.

She stated a skin assessment was completed for all residents on the unit to ensure there was no unknown injury. A secured care consult was scheduled and they discussed different interventions, activities, and things Resident #2 was interested in and like to do.

She stated they usually scheduled a follow up meeting, but Resident #2 had moved to a sister facility and was doing well.

She stated Resident #2 was territorial and liked his space. He did not like people in his room.

She stated if he saw someone do something to upset a CNA or female resident, he would stand up and stare them down, but did not get physical.

She stated looking back, Resident #1 had been talking and moving things in the dining/activity room, and it probably upset Resident #1.

She stated in-service training was provided to staff after the altercation.

She stated the most important intervention at the time was monitoring Resident #2.

She stated Resident #1 did not remember the incident when asked about it and he had no injury.

During a telephone interview on 02/02/2026 at 3:25 PM, CNA F stated she was in the dining room when Resident #2 hit Resident #1.

She stated Resident #1 was watching television.

She stated Resident #2 walked to the sofa where Resident #1 was sitting and hit him on the right side of his head.

She stated Resident #1 was wearing his cowboy hat.

She stated he did not express it caused any pain.

She stated Resident #2 started kicking his foot at Resident #1, but his foot did not touch Resident #1.

She stated the two residents had no previous altercation.

She stated Resident #2 was placed on one-to-one monitoring after the incident and moved to another facility.

She stated after the incident Resident #2 did not remember what happened and Resident #1 told staff he was not hit.

She said the facility had in-service training about abuse and de-escalation and to report any abuse to the Administrator.

Record review of the facility's policy Abuse/Neglect, undated, reflected The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart.Residents should not be subjected to abuse by anyone, including, but not limited to facility staff, other residents.The facility will provide and ensure the promotion and protect of resident rights.

Physical abuse: Includes hitting, slapping, pinching, and kicking.