Violation Details: 00148689-AP-117596

Date
7/8/2021
Report number
00148689-AP-117596
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about July 8, 2021, Witness 1 (W1) started to go into AV’s room. AV tried to close the door when W1 tried to enter. AV begun to yell. Staff saw AV falling and observed W1 push the door open and hitting AV. AV sustained significant laceration to the head as well as nasal and septal fracture. AV also had subdural hematoma with a 3 mm midline shift. The facility failed to provide a safe environment to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP22-00885 $1125.00 fine assessed