- Date
- 9/25/2023
- Report number
- 00287600-AP-241768
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to address resident's behavior
- Result
- Substantiated
- Findings
- Witness W1 (W1) moved into the facility on September 3, 2023, and has a history of resident-to-resident altercations. W1 interventions implemented to reduce W1 of resident-to-resident incidents: September 13, 2023, if staff see W1 wandering in the dining room they are to offer W1 a cup of coffee; September 19, 2023, if staff see W1 looking into other residents’ room they are to offer to go on a walk; September 21, 2023, if staff see W1 attempting to assist other residents’ then staff are to redirect. On or about September 25,2023, Alleged Victim (AV) and W1 were involved in a physical resident-to-resident altercation. W1 hit AV with a fork under AV’s left eye resulting in a skin tear and bruising and causing AV to lose h/h balance and fall backwards and hit h/h head.
The facility failed to follow the W1 interventions implement to reduce W1 or resident-to-resident altercations, failed to appropriately address W1 ongoing aggressive behaviors and plan care accordingly for the safety of other residents, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00512 $1500.00 fine assessed