Until the resident has in a court had her guardianship of her self taken away and someone else is appointed to be her legal guardian no one can make that decision for her , she can be encouraged/ verbally cued to make good choices by staff and family and staff can intervene when needed to keep her from committing SIB or harming another staff or resident. If a mandated reporter feels that a initial report to a employer has not shown a more positive result , then I would encourage the mandated reporter to by pass the employer and make a report to the state ombudsmans office for vulnerable adults.