Case 3 - Sexual Assault in Memory Care Facility

Investigation Not Completed


A mother with dementia was the victim of sexual assault by another resident at the facility where she had lived. This assault was witnessed by staff and reported to MDH. Even after the report, the perpetrator (who had no diagnosis of cognitive deficit or dementia) was not removed from the facility for 5 days until the family secured a temporary order of restraint. A maltreatment report was filed with the MDH over two years ago. However, the family has yet to be informed of any investigation completed by the MDH.

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Agency Lack of Awareness of Provider Incident Report; Lengthy Process after Family Report; Threats to Continue Substandard Care; and Delayed Posting of Incident After months of concern for the care be

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