- Date
- 4/9/2024
- Report number
- 00324352-AP-275920
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about April 9, 2024, Witness 1 (W1) and Alleged Victim (AV) had a physical altercation in the hallway of the facility. Based on facility documentation and interviews, W1 has a known history of prior resident-to-resident altercations due to W1's aggressive behaviors and violent outbursts. To prevent/minimize W1's inappropriate behaviors, W1 is care planned to have one-on-one care. At time of incident, the facility failed to have one-one -care for W1 due to facility being short-staffed which resulted in W1 not having a caregiver present to immediately address W1 behaviors as needed. At time of incident, W1's prescribed medication to treat his/her behaviors was not being available. Facility documentation showed W1 was last administered his/her behavior medication on March 30, 2024. The facility's failure to appropriately monitor W1 according to his/her known behavior and prior altercations, resulted in a physical altercation between W1 and AV that caused unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00896 $1125.00 fine assessed