- Date
- 1/23/2023
- Report number
- 00248066-AP-203987
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is Non-verbal and has history of wandering into other resident rooms. AV is care planned to always be in the field of view, redirect constantly to the common area, and be involved in activities and puzzles. Witness #1 (W1) has history of touching same sex residents, staff are to ensure no other residents wander into W1 room and is on fifteen(15) minute checks. On or about January 23, 2023, Staff completed routine check on W1 in h/h room and found W1 sitting on h/h bed with AV leaning over W1 private area, placing AV at risk harm, and experiencing a loss of dignity. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00964 $500.00 fine assessed