Violation Details: 00336087-AP-287050

Records Request Print
Date
6/7/2024
Report number
00336087-AP-287050
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
According to the documentation, the facility failed to follow Witness 1’s (W1) care plan to implement interventions when they were showing signs of agitation. On or about June 07, 2024, W1 exhibited agitated behaviors as outlined in their service plan. W1 threw a cup in the dining room, then the Alleged Victim (AV) approached W1 and W1 pushed them down. The AV suffered a head injury and one of their teeth were knocked out due to this incident. There is no documented evidence the facility tried to redirect the W1 when exhibiting agitation as outlined in their service plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP24-01002 $188.00 fine assessed