Violation Details: 00374560-AP-324938

Date
12/26/2024
Report number
00374560-AP-324938
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) has history of wondering around and entering other resident rooms, has aggressive behaviors and altercations with other residents including W1. W1 does not like when other residents enter W1 room. AV and W1 have history of resident-to-resident altercations with interventions in place, W1 to participate in activities away from AV, and staff to ensure AV is not near W1 while in common areas. On December 26, 2024, AV went into W1's room. W1 pushed AV out of W1's room resulting in W1 having a skin tear 2-3 cm long on W1's upper left arm. W1 was given pain medication and skin tear was bandaged. AV complained of lower back pain, and crying after the incident and required OTC pain medications. The facility failed to provide a safe environment and properly plan care for AV's known wondering into other residents rooms, resulting in a resident-to-resident altercation with injury to AV and W1, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00609 $375.00 fine assessed