Redstone Highlands.

“Staff person A was observed forcefully taking a game box from resident #1's hand multiple times, causing the resident to lose balance. The allegation of abuse was not verbally reported to the local Area Agency on Aging until 5/7/25, in violation of immediate reporting requirements under the Older Adult Protective Services Act.”

“Following an allegation of abuse involving staff person A, the home did not immediately develop and implement a plan of supervision or suspend the staff person. The accused staff member continued to work unsupervised after the incident.”

“Staff person A forcefully took a game box from resident #1's hand multiple times, causing the resident to lose balance and become upset and angry, without asking permission and using a stern voice. This treatment violated the requirement that residents be treated with dignity and respect.”

“Alternate exit routes were not used during fire drills conducted on 1/31/23, 2/28/23, 3/28/23, 4/26/23, 5/16/23, 6/28/23, and 9/19/23. Only the 1st and 2nd floor lobby exit routes were used during these drills.”

“The support plan for resident #1, dated 2/24/23, does not document how the resident's dysphagia diet need will be met and does not include the need to provide one food item at a time to decrease impulsivity for self-feeding.”

“Resident #2 was admitted to the secured dementia care unit (SDCU) but there is no documentation present indicating that resident #2 and resident #2's designated person have not objected to the admission to the SDCU.”

“A direct care staff person stole a resident's wedding ring by removing it from the resident's hand and sold it to a local pawn shop. The ring was subsequently destroyed and could not be returned to the resident. This constitutes abuse and mistreatment of a resident.”