Violation Details: 00140676-AP-110801

Date
5/19/2021
Report number
00140676-AP-110801
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to maintain a safe physical environment
Result
Substantiated
Findings
On or about May 19, 2021, the Alleged Victim (AV) was exit seeking in the facility. Staff gave AV medication to calm him/her, however, the medication didn't work for long. The door to the outdoor enclosure was not locked and did not advise staff of a resident going outside. AV went outside and tried to climb the fence with a chair and fell, resulting in a broken hip requiring surgery. The facility's failure to provide a safe physical environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00132 $1500.00 fine assessed