Resident1 was attempting to rest in her room and came out to ask the other residents to be quiet. At this time Resident1 and Resident2 began to have exchange of words and the Nurse was standing between the two residents trying to deescalate, when Resident2 ran up behind the nurse and shoved Resident1 into a bedroom where the two had a physical altercation. Additional staff responded immediately and separated the two residents.
Resident2 had no injuries. Resident1 sustained several scratches to her face, a knot on the back of her head, and complained of pain in her right hand. Actions Taken: injuries were assessed by RN, scratches were cleaned immediately and given ice pack. Resident1 was seen by our Nurse Practitioner that same day who ordered an in-house X-Ray of her right hand (X-Ray results normal). Scratches were ordered to be cleaned and ointment applied for 7 days and neurological checks for 48 hours. Resident1 did request to press charges against resident and a report was taken by West Memphis PD.