- Date
- 2/17/2025
- Report number
- 00384356-AP-334858
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) and Witness (W1) are residents in a memory care facility that is responsible for their care and supervision. AV and W1 have known cognitive impairment, ambulatory, and multiple behaviors. AV and W1 both have a documented history of aggression; they have harmed other residents and staff in the past. On or about February 17, 2025, a resident-to-resident altercation involving multiple residents occurred. W1 and AV physically assaulted each other, resulting in AV obtaining a red mark. No staff were present in the TV room at the time of the altercation, despite policy and expectation that someone should be on the floor at all times. The facility failed to provide a safe environment, oversight, and adequate supervision, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00448 $500.00 fine assessed