Category 3 restraints reversed. Prone restraint warranted emergency intervention, not prohibited. Category 3 restraints affirmed improper technique lifting Service Recipient to stretcher.

Category 3 restraints affirmed. Subject improperly lifted Service Recipient to stretcher. Category 3 restraints & physical abuse affirmed. Subject held chin & covered Service Recipient's mouth.

Category 3 restraints reversed. No proof of policy and emergency exception. Category 3 restraints affirmed. Lift onto wheelchair improper technique.

Category 3 restraints reversed. Emergency exception invoked and no proof of policy prohibiting prone restraint.

Category 3 restraints reversed. No policy prohibiting prone restraint.

Category 3 restraints reversed. Prone restraint used, reasonable emergency exception invoked and no policy prohibiting conduct.

Category 3 deliberate inappropriate use of restraints unsubstantiated. Turning Service Recipient's face to avoid being bitten was a reasonable emergency intervention.

Category 3 neglect found where the Subject conducted an inappropriate restraint technique per Stipulation of Facts.

Neglect unsubstantiated - no breach of duty to redirect Service Recipient to bedroom at 5:32 am. Abuse found - Subject did not utilize supportive stance.

Category 3 deliberate inappropriate use of pharmacological restraint/neglect substantiated when medication ordered without examining or interviewing Service Recipient.