On 6/5/23 at approximately 1853, she was observed in her room with a sweatshirt she had placed around her neck. Staff intervened and removed the sweatshirt from around her neck. At this time, RN assessed, and no visible injuries were sustained from the sweatshirt placement around her neck. After this, client began processing with staff about her feelings at the time. She expressed hopeless feelings in the beginning but by conclusion of verbal processing, she felt “better” and verbalized the willingness to communicate with staff further about her feelings and to use her coping skills. Client continued to sit in her bedroom. Resident contracted for safety; increased line of sight discussed with staff.
Licensing narrative: Licensing Specialist reviewed provider reported incident. Licensing Specialist will inquire about if resident was alone in her room.
- 6/8/2023, Licensing Specialist informed that resident was in her room when this incident occurred. A staff member was called and left resident alone in her room when this attempt was made. Licensing Specialist informed by Director of Nursing (DON) that staff will be retrained on supervision and communication.
Regulations out of compliance: 907.2 – staff member left resident unsupervised while providing 1:1 supervision. Licensing Specialist: Kendra Rice.