Violation Details: 00107982-AP-082757

Date
10/16/2020
Report number
00107982-AP-082757
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Result
Substantiated
Findings
Witness 1 (W1) was care planned to be redirected when attempting to enter other resident’s rooms and had a history of this behavior. On or about October 16, 2020, W1 appears to have attempted to enter Alleged Victim’s (AV’s) room and was pushing the door open as AV was also opening their door resulting in AV falling to the floor and causing AV to get a hip fracture and broken hand. The facility failed to care follow care plan related to W1’s known behavior of wandering, which is a violation of resident rights, is neglect of care and constitutes abuse.