On 05/23/23 at approximately 23:30, it was reported that a resident placed a screw into her vagina. While doing so, she scratched the inside of her vagina, resulting in minor bleeding. RN arrived and assisted to the nurses’ station where area was assessed by 2 RNs. Minimal bleeding was noted at the time of assessment. The nursing staff was unable to visualize the entirety of the scratch that went up further in the vaginal canal. EMS was called for transport to the hospital for a more thorough assessment. Provider notified. Client was assisted out of the facility at 00:15 by EMS and floor staff. Client verbalized that the insertion of the screw was an attempt to hide/conceal the contraband. No significant injury requiring follow-up was noted in the discharge paperwork. Upon arrival back to the facility, client was placed on a 1:1 level of observation with hourly body searches, given paper scrubs to don, and placed in the comfort room.
- 5/24/2023 – Licensing visited the facility and discussed this incident. It was still unknown where the resident got the screw from. The resident was seen in paper scrubs standing in the “Comfort room”. The resident had several injuries up and down her arms from what appeared to be fingernail marks in attempt to self-harm. Licensing also viewed the resident’s bedroom which was completely empty. The CEO reported that the resident’s mattress, bedding, and clothing were removed, as she is staying in the comfort room until she can become stable and rejoin the unit.
- 5/31/2023 – Licensing Specialist followed-up with facility regarding resident’s precautions. Licensing Specialist informed that resident had been discharged into an acute setting.
- 6/1/2023 – Licensing Specialist inquired if resident will be returning to the facility. Licensing Specialist informed that resident will not be returning to the facility.