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- Self-inflicted Injury (1)
- Client self-harmed with a staff bathroom key that was left on the common room table by staff. Client created 2 superficial wounds on her arm that were cleaned.
- Licensing follow-up: Facility visited on 12/29/22. It was determined that a few weeks ago, staff were allowed to use a single restroom on each unit as a “staff bathroom” so that staff did not have to leave the unit out of ratio to use the restroom on the administration hall. After the key was left out on the table, a resident used it to self-harm. DON stated the keys were collected and the unit bathroom for staff no longer allowed, but stated someone must have returned the key to the unit. DON stated this could have been due to staff shortages during the holiday. The key has again been collected and is no longer on the unit. Facility cited 907.2 for lack of supervision, as client was noted to be high risk for self-harm and had an event earlier in the day.
