Category 3 neglect and abuse found when Subject breached a duty which allowed Service Recipient to injure himself. Subject falsified records of supervision.

Category 3 physical abuse, abuse, and neglect found when Subject restrained Service Recipient by laying on top of him in bed. No intent to obstruct.

Category 3 obstruction affirmed. Subject failed to report incident reasonable cause to suspect that Service Recipient was subjected to a reportable incident, which triggers duty.

Category 3 obstruction reversed. Subject did not intentionally withhold information and no proof that statements impeded investigation.

Category 3 neglect found when the Subject allowed Service Recipient to leave her sight, when he was on 1:1 supervision. Category 3 obstruction unsubstantiated.

Category 3 obstruction & neglect, Category 3 neglect, Category 3 deliberate & inappropriate use of restraints, neglect affirmed. Assisted restraint, breached duty. No medical care. Incident unreported.

Category 3 obstruction found where the Subject did not report an incident once he became aware. Reduced from Category 2 per Stipulation of Facts.

Category 3 obstruction found where the Subject did not report an incident once she became aware. Reduced from Category 2 per Stipulation of Facts.

Category 1 neglect: Subject did not 1:1 supervise injured Service Recipient. Category 2 neglect: Subject did not follow protocol. Category 3 obstruction reversed. No proof suppression attempted.

Category 3 neglect affirmed breached duty. Failed to assist with ambulation. Category 3 obstruction reversed. No proof lie impeded investigation.