Violation Details: 00253001-AP-208699

Date
3/15/2023
Report number
00253001-AP-208699
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to follow Witness 1's (W1) care plan according to his/her need for monitoring and redirecting due to ongoing aggression and altercations. W1 wandered into another Pod of the facility without staff knowledge and got into a physical altercation with the Alleged Victim (AV), pushing AV to the ground, and two other residents had to intervene and redirect W1. The facility's failure caused unreasonable discomfort to AV, and placed other residents at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01225 $375.00 fine assessed