Violation Details: 00371316-AP-321658

Date
12/11/2024
Report number
00371316-AP-321658
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for care, has a history of falls, and uses a walker to ambulate. On or about December 11, 2024, the AV was ambulating with their walker very quickly, when the Alleged Perpetrator 2 (AP2) grabbed the walker to slow AV down. AV lost their balance and started to fall, so AP2 quickly and forcefully guided AV into a chair, which resulted in bruising on AV's ribcage. According to an investigation, AP2 was the only one in the facility providing care to residents, due to the other scheduled staff being on their break or lunch, and AP2 was also in the process of passing medications to other residents. The allegation that AP2 neglected AV was investigated and inconclusive for abuse and neglect. The facility failed to provide services, to include sufficient staff to meet resident's scheduled and unscheduled needs, and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP26-00063 $375.00 fine assessed