- Date
- 4/19/2023
- Report number
- 00258549-AP-213889
- 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, redirect constantly, and involve AV in activities. W2 has known behaviors of becoming upset when other residents wander, and is care planed for frequent safety checks at night 3-4 times a shift. On or about April 19, 2023, at approximately 12:45 am AV woke up found a pitcher of water and dumped it on a resident sleeping on the couch. Residents were separated, and staff directed to always keep an eye on AV. At approximately 5:00 am AV wandered into W2 room and held onto W2 empty wheelchair. W2 was startled awake and punched AV making contact to AV left ear, cheek, and nose. The facility failed to follow AV’s care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01079 $750.00 fine assessed