Violation Details: 00381320-AP-331839

Records Request Print
Date
1/29/2025
Report number
00381320-AP-331839
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0030(1)(e)(I), 411-054-0036(2)(b)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. Witness 1 (W1) has a history of resident-to-resident altercations. AV and W1's charting notes included instructions for staff to have food and drinks in front of W1 at all times during meals and remain within view of W1 to ensure safety. These instructions were not provided to staff in resident service plans or temporary service plans. According to an investigation, on or about January 29, 2025, W1 tried to take a glass of milk from AV. When AV removed the milk from W1's reach, W1 tapped AV on the head with a fist and resulted in AV getting upset. The facility failed to timely address W1's behavior, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-00717 $250.00 fine assessed