Violation Details: 00399720-AP-350520

Date
5/4/2025
Report number
00399720-AP-350520
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 a history of previous resident-to-resident altercations. AV has interventions in place, if AV has signs of escalating behavior, staff to offer AV coffee, offer 1;1 conversation, staff will move AV away from others, staff to monitor AV's reactions to the behavioral expressions around AV and redirect accordingly. On or about May 4, 2025, AV and W1 were in the dining room. AV was yelling and staff did not intervene, AV was walking towards caregiver when AV bumped into W1's wheelchair. AV thought W1 hit AV and yelled at W1 to "get out of the way!'. AV got ready to punch W1 then W1 tapped AV's tummy, so AV smacked W1's forehead. The facility failed to prove W1 a safe environment, and follow AV's interventions resulting in a resident-to-resident altercation, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01100 $375.00 fine assessed