On 6/5/23 at approximately 19:52 while in her bedroom, staff had to intervened when client placed a bedsheet from her room around her neck. RN and other staff responded with RN providing visual assessment. After this, client was escorted to the comfort room. After RN assessment, no visible injuries were found from the placement of the sheet around her neck. Resident was placed on a full suicide precaution safety plan with 1:1 observation. Client was seen by provider, medication regimen adjusted. Therapist to meet with to further process event.
Licensing narrative: Licensing Specialist reviewed provider reported incident. Licensing Specialist will inquire about safety plan being initiated due to third reported self-harm incident.
- 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.