Violation Details: 00053490-AP-037315

Date
10/14/2019
Report number
00053490-AP-037315
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) was care planned to have staff help AV lock the door when he/she was in his/her room. On or about October 14, 2019, Witness 1 (W1) entered AV’s unlocked room while AV was present, resulting in an altercation when AV threw a room temperature drink on W1 and W1 scratched AV’s arm and hand, causing skin injuries to AV. W1 and AV had a previous similar altercation where W1 entered AV’s room resulting in a skin injury to AV. W1’s care plan was not updated at that earlier incident and did not have sufficient instructions on how to monitor or prevent W1 from these behaviors. The facility’s failure to follow AV’s care plan and failure to implement appropriate interventions according to W1’s known behaviors are a violation of resident rights, are considered neglect of care and constitutes abuse.
Sanction
RCFCP20-00373 $375.00 fine assessed