- Date
- 12/8/2023
- Report number
- 00301228-AP-254416
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- On or about December 08, 2023, Alleged Perpetrator 2 (AP2) failed to follow The Alleged Victim (AV) care plan. AV needs a two-person transfer along with bed positioning to safely. AP2 assisted AV without communication, resulted in AV falling over h/her bed and hitting h/h head suffering pain, and unreasonable discomfort. AP2's actions is a violation of resident rights, is considered neglect of care and constitute abuse.