Violation Details: 00255692-AP-211212

Date
4/2/2023
Report number
00255692-AP-211212
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for a safe environment. Witness 1 (W1) and AV have history of aggressive behaviors towards staff and other residents. W1 service plan requires staff to provide 1:1 care to prevent W1 from harming others during episodes of heightened agitation. AV TSP requires staff to monitor non-consensual touching and intervene and redirect when interacting with other residents in a non-consensual manner. On or about April 02, 2023, AV was tugging at W1 and would not stop when W1 asked. W1 threw a cup at AV mouth causing unreasonable pain to AV. The Facility failed to provide a safe environment for AV and failed to follow the interventions and care plans for W1 and AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP23-00845 $500.00 fine assessed