Poor supervision led to "inappropriate" physical incident between two Hughes Center residents

The Hughes Center was cited by the Virginia Department of Behavioral Health and Developmental Services (DBHDS) for violating state regulations around patient rights, which states that individuals “have the right to be protected from harm including abuse, neglect, and exploitation.” DBHDS found that the “provider failed to have adequate supervision of individuals in the living area” which led to an inappropriate physical incident between two patients. DBHDS wrote: 
“The failure to have appropriate staff supervision constitutes neglect.”
DBHDS also found that the facility violated state regulations around the provision of services, which requires services to be provided “according to law and sound therapeutic practice.” Specifically, the DBHDS found that the bathroom door was left unlocked and unattended for an extended period of time allowing the  two aforementioned patients to freely enter and exit the bathroom. DBHDS determined that this was a violation of the facility’s policies and procedures, as the bathroom door typically remains locked. In the Provider Response, Hughes Center stated that “staff members will provide supervision and protection to our residents” and will complete a visual check of each resident every 15 minutes as required by facility policy.