- Date
- 10/11/2021
- Report number
- 00165050-AP-130923
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. AV has had approximately 19 incidents of sexually inappropriate behaviors, inappropriate touching of residents of the opposite sex, exposing him/herself and masturbating in front of other residents. On one occasion, a resident became frustrated with AV and told AV to get away from the opposite sex residents. Alleged Perpetrator 2 (AP2) reported to Alleged Perpetrator 3 (AP3) inappropriate behaviors by W3 toward residents who may be incapable of consenting to sexual act. Some incident reports that were written by staff were determined by AP2 and AP3 to be inaccurate reports of what was witnessed. As AV’s sexually inappropriate behaviors increased, the care plan was not updated, and no Temporary Service Plan (TSP) were completed for AV. AP2 and AP3 failed to provide oversight and monitoring of change of condition of AV, which is neglect of care and constitutes abuse. The facility failed to care plan appropriately and implement interventions to AV’s known sexual behaviors, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP22-01303 $1500.00 fine assessed