Violation Details: 00209339-AP-169166

Date
7/8/2022
Report number
00209339-AP-169166
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Witness 1 (W1) has a long history of exit seeking, and violent behaviors with staff and other residents. W1 requires extensive staff assistance with reminders, supervision, and redirection. W1 is care planned with interventions that include one-on-one. On or about July 07, 2022, W1 entered Alleged Victims (AVs) room, while AV was in bed. W1 threw a vase at AVs window breaking it. AV had glass in h/h bed causing risk of serious harm. The facility failed to follow the care plan and provide one-on-one, due to staff shortage, which is a violation of resident rights is neglect of care and constitutes abuse.
Sanction
RCFCP22-01650 $500.00 fine assessed