Young Patient not Monitored, Commits Suicide

The facility was cited by the Centers for Medicare and Medicaid Services for failing to protect a patient’s right to care in a safe setting and not having an effective system for monitoring patients for continuous safety. A young patient died after being found hanging from towels and a bed sheet over a bathroom door. Review of video surveillance showed that other patients and staff were attending a group activity at the time of the suicide and staff failed to observe the patient for 47 minutes.