- Date
- 1/3/2024
- Report number
- 00305437-AP-258361
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to protect resident from physical abuse
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is incontinent in both bowel and bladder, requiring staff assistance with toileting and peri care. AV experiences a poor gait and weakness when ambulating resulting in balance issues and requires staff assistance with transfers. On January 3, 2024, Alleged Perpetrator 2 (AP2) was assisting Witness 2 (W2) provide AV with incontinence care. During the care being provided, AV complained about slipping off the edge of the bed. AP2 turned AV onto h/h stomach on AV's bed, resulting in AV's knees coming into contact with the floor. AP2 disregarded statements from staff and AV about repositioning AV. As a result of being on h/h knees, AV suffered injuries to h/h knees. AV required h/h PRN liquid pain medication for knee pain in the two days following the incident. AP2 was hired by the facility on September 27, 2023, and received training by the facility as to how to appropriately care for and interact with the residents of the facility. AP2 received a final warning due to verbally abusing residents on December 26, 2023. In the write up, the facility acknowledged that AP2 abused the other resident verbally. In the write up, AP2 was advised that s/he must treat residents with respect and dignity and that further instances could result in termination. There is no documentation that any corrective training was provided following the final warning.
AP2's actions of disregarded statements from staff and AV regarding position and AV verbal discomfort and pain are a violation of resident rights, considered neglect of care and constitute physical abuse. The facility failed to protect the resident and provide a safe environment from abuse and provide additional training to AP2, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00529 $188.00 fine assessed