Violation Details: 00383710-AP-334257

Date
12/26/2024
Report number
00383710-AP-334257
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Witness 1 (W1) has history of wondering around and entering other resident rooms, has aggressive behaviors and altercations with other residents including Alleged Victim (AV) . AV does not like when other residents enter AV's room. W1 and AV have history of resident-to-resident altercations with interventions in place, AV to participate in activities away from W1, and staff to ensure W1 is not near AV while in common areas. On December 26, 2024, W1 went into AV's room. AV pushed W1 out of AV's room resulting in AV having a skin tear 2-3 cm long on AV's upper left arm. AV was given pain medication and skin tear was bandaged. W1 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 W1's known wondering into other residents rooms, and properly care plan for other residents to not enter AV room, 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
RCFCP25-00611 $375.00 fine assessed