Ludeman Developmental Center

Case # (*)	Summary	Self-Report or Complaint	Date of Incident Discovery	Date Reported to OIG	Date OIG Report Issued	Written Response Due Date	Date Written Response Received	Final Approval Date (**)
9517-0011 (pdf)	Accused punched and kicked the victim in the head.	Self-Report	10/2/16	10/2/16	6/27/18	7/27/18	7/30/18	7/30/18 (pdf)
9517-0026 (pdf)	Facility failed to provide for consistent one to one supervision as required by the victim's service plan.	Self-Report	12/19/16	12/19/16	7/2/18	8/1/18	7/30/18	7/30/18 (pdf)
9517-0027 (pdf)	Accused fell asleep during the victim's hospitalization, allowing the victim to pull out his G tube.	Self-Report	1/10/17	1/10/17	7/30/18	8/29/18	8/2/18	8/2/18 (pdf)
9517-0040 (pdf)	Facility failed to properly staff the unit, allowing the victim to retrieve a butcher knife from a kitchen drawer and stab herself in the scalp.	Self-Report	3/22/17	3/23/17	12/27/17	1/26/18	1/3/18	1/3/18 (pdf)
9517-0052 (pdf)	Accused left her one to one assignment of the victim who was experiencing suicidal ideations, allowing him to elope from the house.	Self-Report	5/10/17	5/10/17	8/3/18	9/2/18	9/5/18	9/5/18 (pdf)
9518-0023 (pdf)	Accused punched the victim in the stomach because he refused to move from a chair.	Self-Report	10/11/17	10/11/17	3/8/18	4/7/18	3/23/18	3/23/18
9518-0033 (pdf)	Accused failed to properly supervise the victim, allowing him to elope from the home in 25° weather.	Self-Report	11/30/17	11/30/17	2/13/18	3/15/18	3/1/18	3/1/18 (pdf)
9518-0067 (pdf)	Accused, while on one to one supervision of the victim, watched while the victim rubbed off a bandage and began to bleed without providing any assistance.	Self-Report	4/4/18	4/5/18	9/5/18	10/5/18	9/7/18	9/7/18 (pdf)

* - Click Case # for executive summary of case report

** - Click Final Approval Date for final version of written response

Please note: Only substantiated cases with written response due dates after January 1, 2018 are posted and, then, only after the written response due date is reached.