The Virginia Department of Health determined a hospital “failed to prevent abuse” when a Neonatal Intensive Care Unit (NICU) nurse allegedly broke the bones of premature babies.

The DOH issued the report this month after 26-year-old Erin Elizabeth Ann Strotman was charged in January with malicious wounding and felony child abuse in connection to an incident that occurred in November at Henrico Doctors’ Hospital in Richmond.

A copy of the DOH’s report by the Centers for Medicare & Medicaid Services was posted by local CBS affiliate WTVR. It details the alleged abuse Strotman inflicted on the infant. Strotman is identified as EMP11 in the report, the TV station reports. Executives and staff reviewed videos from Strotman’s care of the child in question on Nov. 10. The video allegedly shows Strotman “forcefully” pushing the baby’s legs towards the infant’s chest and face. She released the legs and repeated the action, the report says.

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Strotman allegedly assaulted the child in a similar way on Oct. 29 and Nov. 13. In addition, she seemingly forced the infant’s head down on their chest and only held the baby by their head and leg, the report alleges. The infant obviously was impacted by Strotman’s actions as shown by the infant’s increased heart rate and decreased oxygen levels, the report noted.

The now former nurse also violated other hospital policies such as holding the infant with one hand and not putting rails up on cribs when she was not supervising the baby, the report said.

Hospital staff seemed dumbfounded after watching the videos.

“We don’t know why [EMP11] is doing anything [EMP11] is doing,” one employee told state investigators.

Other videos allegedly showed Strotman “forcefully” inserting a suction device into the baby’s nostril in an attempt at intubation. However, nurses watching the videos stated Strotman was using the wrong device, the report said.

State investigators determined the hospital “failed to prevent abuse; identify injuries of unknown origin as indicators of potential abuse or neglect; report and investigate injuries of unknown origin.”

The report also noted Strotman was previously disciplined along with another nurse in September 2023 after four babies suffered fractures. Strotman was placed on admirative leave for a week and allowed to return after receiving training, the report said.

As Law&Crime previously reported, Strotman was indicted on six new felony child abuse and neglect charges this week, court records say. According to local CBS affiliate WTVR, the charges relate to her treatment of four babies between 2022 and 2024. The neglect charge is related to her treatment of a fifth infant who was not injured.

Commonwealth’s Attorney Shannon Taylor told reporters Tuesday after Strotman’s first round of charges, a family’s attorney made her office aware of an assault back in 2022. No one had alerted authorities about the assault at the time it occurred, she said.

“Certainly when you’re talking about a process where mandated reporters are supposed to notify the agency who oversees whatever area we are covering, and there is a failure to do that, that is always concerning,” she said.

Taylor said authorities are still investigating allegations that Strotman assaulted four other infants. She has not been charged in those cases.

Strotman allegedly injured multiple children. According to the hospital, three babies suffered “unexplained fractures” in November 2024. Four other babies suffered similar injuries in the summer of 2023, the hospital said.

Investigators with the Henrico County Police Division reviewed dozens of videos from inside the NICU and were able to point the finger at Strotman. Detectives continue to comb through evidence, including “hundreds of hours of footage” in hopes of bringing justice to each baby who suffered abuse.