Violation Details: 00280343-AP-234900

Records Request Print Provider Details
Date
8/16/2023
Report number
00280343-AP-234900
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0030(1)(e)(I)
Findings
The Alleged Victim (AV) resides in a locked unit. On or about August 16, 2023, Alleged Perpetrator #2 (AP2) exited the locked unit and entered the assisted living. When AP2 exited, AP2 thought the door latched, however, AV grabbed the door and exited behind AP2 without his/her knowledge. AV suffered a fall, resulting in a bruise to his/her leg. The facility staff tightened the door so it will close more quickly to ensure residents can't grab the door before it closes. AP2's actions were found to be inconclusive. The facility failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01334 $169.00 fine assessed