Violation Details: 00309354-AP-262580

Date
1/27/2024
Report number
00309354-AP-262580
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about January 29, 2024, AV was attempting to walk into a room and was blocked by facility staff. AV threw themselves on the ground and hit their head on the door frame, resulting in being sent out to the hospital. AV's service plan does not mention AV having any behaviors of throwing self to floor, or provide staff with any interventions on how to address AV's behavior of throwing self to the ground. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s behaviors, which is violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00295 $375.00 fine assessed