- Date
- 9/13/2024
- Report number
- 00354649-AP-304953
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Witness #1 (W1) has a history of aggressive behavior, being physical towards staff, Alleged Victim (AV) and other residents leading into resident-to-resident altercations. W1 has been known to shake h/h cane in an aggressive manner at other residents. W1 and AV share a bathroom. W1 has history of screaming, cursing, and beating on the bathroom door when staff take AV to the bathroom. W1 has history of repeatedly entering AV’s room without permission, destroying AV’s property and messing up AV’s room. Interventions in place for W1, if staff notice W1 becoming agitated or verbally aggressive, staff to offer to sit down with W1 and have a conversation about how W1 is feeling, redirect, offer stuffed animal, turn on TV. On or about July 3, 2024, a discussion was had with W1's family the facility does not believe it can ensure the safety of W1 and the other residents due to W1's aggressive behavior, noncompliance with medications, and interventions and the need to start searching for a more appropriate placement for W1. On or about September 13, 2024, W1 was found in AV's room screaming at AV and pointing W1's cane inches away from AV's face resulting in AV being scared, not wanting to be in AV’s room and staff having to sit with AV until AV fell asleep. The facility failed to provide a safe environment for AV, properly plan care, and provided interventions appropriate to mitigate W1 aggressive behaviors, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00223 $500.00 fine assessed