- Date
- 8/23/2021
- Report number
- 00156898-AP-124405
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Witness #1 (W1) is care planned to have residents redirected from him/her due to behaviors when other residents block the TV or touch his/her wheelchair. On or about August 23, 2021, staff heard yelling and saw W1 push the Alleged Victim (AV) after AV touched W1's wheelchair. AV fell to the ground, was taken to the hospital and diagnosed with a broken pelvis. The facility failed to have enough staff available to follow W1's care plan, placing AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP21-03521 $375.00 fine assessed