Violation Details: 00388182-AP-338684

Records Request Print
Date
3/10/2025
Report number
00388182-AP-338684
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Witness #1 (W1) is care planned to be on one to one supervision due to wandering into other residents rooms. On or about March 10, 2025, W1 wandered into the Alleged Victim's (AV) room and grabbed AV's arm, causing a skin tear. Facility staff who were to be watching W1 went to break and did not advise other staff that someone needed to supervise W1, allowing W1 to enter AV's room. The facility's failure to follow W1's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-00436 $375.00 fine assessed