My recent experience on call in the ER the other night prompts me to offer the following scenario:
The patient claims to be pushed and choked by the group home staff. It is somewhat difficult to understand her speech presumably due to complications of Down syndrome, but her nodding and response to your questions seem to indicate she comprehends the conversation fully.
The group home staff member claims the resident throws tantrums, yells loudly, and for the most part makes life difficult for others. She claims she never laid a hand on anyone.
What do you do?