Violation Details: 00146319-AP-115616

Date
6/23/2021
Report number
00146319-AP-115616
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to use restraint properly
Result
Substantiated
Findings
Alleged Victim relies on the facility for his/her care. On or about June 23, 2021, AV went to an outing on this/her wheelchair in the facility bus. Alleged Perpetrator 2 (AP2) properly secured AV’s wheelchair to the bus but did not use the shoulder/lap belt on the bus to secure AV to the wheelchair. A few minutes into the bus ride, AV fell out of the wheelchair and broke his/her arm. AP2 was trained to secure the wheelchair with four straps, but not to use the shoulder/lap belt to secure the resident to the wheelchair. The facility failed to use restraint properly, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP22-00121 $375.00 fine assessed