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Occurrence Summary Reports for:
COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Sunday, November 19, 2017 12:50 PM

Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 11/30/2016
Report Timely: Yes
Type of Occurrence: Abuse/Physical

DESCRIPTION OF OCCURRENCE:
On 11/30/16 male patients (A) and (B), both in their 20s, were involved in a physical altercation.

FACILITY ACTION:
The facility conducted an internal investigation and notified the police and physician. Patient (A)'s current care plan addressed his legal, medical, and behavioral issues, including assaultive history and substance abuse. Patient (B) was identified as acutely psychotic and delusional with a care plan addressing his legal, behavioral, and substance abuse issues. On 11/30/16, patient (A) was walking into the bathroom when patient (B) began hitting him in the head and shoulder area with a clenched fist. Patient (A) ran out of the bathroom yelling for help. Staff quickly intervened and escorted patient (B) to a seclusion room. A registered nurse assessed patient (A) and found an abrasion on his head and several scratches to his neck and cheek. Treatment was rendered to the areas of injury. Patient (B) sustained no injuries during the event. The medical provider was notified and placed patient (B) on specific assault precautions and peer restriction. Police were notified and conducted an investigation. Patient (A) did not wish to press charges against patient (B). Patient (A) claimed patient (B) had been calling him names, but denied he had retaliated against patient (B). Patient (A) denied fearing patient (B). Based on the injuries sustained by patient (A) and information obtained from witnesses, the allegation of physical abuse was substantiated.

DEPARTMENT FINDINGS:
The Department reviewed the facility's report and supplemental documentation and found that the facility acted appropriately by reporting the occurrence, notifying the appropriate persons and agencies, and conducting an investigation. The summary findings were based on facility information provided to the Department at the time of review.

The Department will review this occurrence prior to the next survey.

Sent to Facility: 3/27/2017

FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.


Released to Public: 4/6/2017

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