Violation Details: 00327688-AP-279085

Date
4/27/2024
Report number
00327688-AP-279085
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) and Witness 1 (W1) are both residents of the facility and rely on facility staff to ensure their basic care, safety, and supervision requirements are met. On or about April 18, 2024, W1 displayed aggressive physical behavior towards another resident and no new interventions were put in place to prevent W1's aggression. On or about April 21, 2024 W1 and AV had an altercation where W1 punched AV full force with a closed fist on AV's jaw. After the resident-to-resident altercation, the facility failed to implement new interventions to address W1's behaviors. On or about April 27, 2024, AV was touching another resident's wheelchair , W1 told AV to stop touching the wheelchair, and when AV did not stop, W1 hit AV in the face. AP1 neglected AV by failing to put in place effective person-centered interventions for both AV and W1 leading to a resident-on-resident altercation on April 27, 2024 resulting in AV being hit in the face by W1 having unreasonable discomfort.
Sanction
RCFCP24-01107 $375.00 fine assessed