- Date
- 9/21/2024
- Report number
- 00355903-AP-306227
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to address resident's behavior
- Result
- Substantiated
- Findings
- Witness #1 (W1) has a history of agitation, and physical aggression towards staff and residents. W1 has history of resident-to-resident altercations. Interventions include staff to take W1 on a walk, staff to talk with W1 about h/h day, staff to give W1 a glass of juice. W1 has history on entering Alleged Victim's (AV's) room and taking AV's person items. W1 entered AV's room on or about September 13, 2024 swinging, screaming and pointing W1's cane, inches away from AV’s face. W1 is noted by staff to have a hyperfixation about the bathroom. AV and W1 have a Jack-and-Jill bathroom that is between the two apartments. On or about September 21, 2024 staff assisted AV with toileting and bathing when W1 became upset and used a mini fridge to break the locked door handle off the bathroom door; W1 was able to enter the bathroom, grabbed and slapped AV's arm while AV was in the shower. AV was too afraid to sleep alone after the incident. The facility failed to provide a safe environment, appropriately care plan and implement person centered interventions to address W1’s behaviors, which is violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00269 $375.00 fine assessed