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CQC Reports / Document

Life and Death at New Queen Esther Home for Adults

Date:

June 1993

Category:

Description

The report illustrates the consequences of inappropriately discharging a psychiatric center inpatient to an adult home ill-equipped to provide the appropriate level of supervision and services. At an adult home with inadequate mental health services, a long history of assaults and acting out behavior by residents, pleas by staff for assistance with problem residents and calls to 911, and 12 years of citations for filthy and unsafe living conditions by the Department of Social Services, a known problem resident assaulted and critically injured another woman resident.