Resident had become upset prior to the incident related to a food sensitivity that staff was discussing with her. Resident appeared to calm down and was painting her nails with another resident, then she broke the glass nail polish bottle and started to self-harm by cutting her left arm. There was scant bleeding and staff called for nurse support in the gym. Staff attempted to remove glass, and when the nurses arrived at the scene, resident then cut her left forearm deeper causing a round 3 cm deep laceration and in the process also cutting her right finger. Resident was restrained and nurses applied pressure and first aid was administered to the resident’s left arm and right finger. Resident was transported to Washington Regional Medical Center ER and sutures were applied to her lacerations. Upon her return to PRTC, a referral to Conway Behavioral Healthcare was made and she was accepted for admission in the evening of 11-15-23.
Licensing Specialist: Jarred Parnell
A visit was conducted to review video footage of the reported incident. In the video, the resident can be seen sitting on the basketball court near the basketball goal painting her nails with another resident. The resident proceeds to break a bottle of nail polish and began to self harm. Staff member notices the resident has a piece of the glass bottle. From 12:43 until 12:50 when a nurse entered the room and restrained the resident the resident had possession of the broken bottle. Nursing staff who entered the room were unaware the resident had a piece of glass. Staff interacting with resident prior to the nursing staff entering the room, were aware the resident was self harming with a piece of glass.
Facility cited 1007.2: The resident had the piece of glass for 8 minutes before the staff removed the glass from the resident’s possession.
Resident was moved to acute care and facility has removed all glass nail polish bottles as part of the safety plan. Staff were also educated on supervising residents during gym time and advised not to participate playing sports with the residents.