Violation Details: 00258549-AP-213842

Date
4/19/2023
Report number
00258549-AP-213842
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Alleged Victim (AV) has a history of resident altercations because of wandering the facility, wandering into other residents’ rooms, grabbing other resident items, wheelchairs, walkers, food, and drinks. AV’s care plan includes staff to have constant supervision, always have AV in the field of view and redirect constantly, involving AV in activities. W2 has known behaviors of becoming upset when other residents wander, and is care planed for safety checks throughout the day. On or about April 14, 2023, AV walked behind W2 wheelchair and began moving it. W2 yelled at AV to stop. When AV did not stop, W2 threw h/h hand up, hitting AV in the face resulting in a bloody nose. The facility failed to follow AV care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01079 $750.00 fine assessed