- Date
- 3/11/2023
- Report number
- 00252147-AP-207829
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) and Witness 1 (W1) sleep in the same bed. AV has history of sleep cycle disturbance and is care planned to have a nighttime routine that promotes rest and uninterrupted sleep. AV is also given medication to aid in nightly sleep. On or about the evening of March 10, 2023, AV was given sleep medication as scheduled. At approximately 5:00am on or about March 11, 2023, staff attempted to wake AV to toilet, AV was resistant, causing AV to bump into W1. W1 and AV started pushing and slapping one another, resulting in AV becoming agitated and experience unreasonable discomfort. The AV is not care planned for incontinence care or toileting during the night. The facility failed to appropriately care plan or implement interventions according to the Alleged Victim’s (AV) needs, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00836 $250.00 fine assessed