Patient had to be restrained at 08:19 in the morning. Nurse reported upon arrival patient was banging her head on the wall while staff were physically blocking to reduce the impact. It was reported that the patient would not respond to verbal de-escalation and behaviors continued to increase. Patient began attempting to self-harm by scratching at legs. Patient did not report to staff what led to this escalation. Staff did report at the beginning of the escalation the patient said that she hated herself and wanted to be free. Patient placed on precautions, self-harm safety plan initiated. Therapist to consult with resident to see if any additional precautions are needed and to determine length of time.
Licensing narrative: Licensing Specialist will follow-up with facility on what precautions were implemented. Licensing Specialist confirmed that resident was placed on a self-harm precaution safety plan.