Violation Details: 00375967-AP-326477

Date
1/4/2025
Report number
00375967-AP-326477
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) and Witness 1 (W1) both rely on the facility for their care. W1 has a history of aggressive behaviors and physical altercations, and is care planned to be removed from the area by care staff when W1 appears to be agitated. According to an investigation, on or about January 4, 2025, W1 was attempting to take bingo cards to their room after an activity and multiple residents were telling W1 to leave the cards there. W1 was getting agitated and when AV told W1 that the cards belonged to the facility W1 grabbed AV's neck and face while yelling at AV. It took facility staff approximately three (3) minutes to get W1 to let go of AV, resulting in unreasonable discomfort to AV. The facility failed to follow W1 care plan and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.