Violation Details: 00395013-AP-345813

Records Request Print
Date
4/13/2025
Report number
00395013-AP-345813
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
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)
Findings
Alleged Victim (AV) relies on the facility for assistance with mobility, which includes two-person transfers and use of a gait belt. According to an investigation, on or about April 13, 2025, Alleged Perpetrator 3 (AP3) transferred AV without a gait belt resulting in a skin injury. It was discovered that AP3 was new to the facility and not trained how to do a two-person transfer or how to use a gait belt. The facility failed to follow provide a safe environment, which is a violation of resident rights, is neglect of care which constitutes abuse. The allegation that AP3 neglected AV was investigated and determined to be not substantiated.
Sanction
RCFCP25-01176 $188.00 fine assessed