- Date
- 5/21/2025
- Report number
- 00387216-AP-337694
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for his/her care and has a cognitive diagnosis that requires AV to have a guardian. AV requires assistance with housekeeping, laundry, showers, medications and treatments, and AV’s guardian is required to be contacted prior to hospital visits for authorization. Between approximately March 1, 2025, and May 21, 2025, AV’s room has been found in unsanitary and unsafe conditions numerous times, and AV has had to go to the hospital multiples times for infections. According to an investigation, AV’s guardian has not been notified prior to sending AV to the hospital every time and there have been repeated documented instances that AV’s room was in unsanitary condition, to include refrigerated food left out, drinks that appear old/spoiled sitting out, unclean floors and bathroom, and medications and cleaning supplies found in AV’s room. The facility failed to provide appropriate services, to include properly care planning and/or implementing interventions to address AV’s repeated infections, declining health, behaviors and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP26-00066 $1350.00 fine assessed