Violation Details: 00164570-AP-130513

Date
10/9/2021
Report number
00164570-AP-130513
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Witness #1 (W1) was care planned with aggressive behaviors and frequent agitation, and staff were to intervene when W1 was showing signs of behaviors. On or about October 9, 2021, the Alleged Victim (AV) and W1 had an altercation where W1 pulled AV from his/her wheelchair by AV's neck and had him/her on the ground pointing a finger at him/her. The facility failed to ensure staff were following the care plan to avoid W1's altercations with other residents. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse
Sanction
RCFCP22-00134 $500.00 fine assessed