Violation Details: 00398969-AP-369783

Records Request Print Provider Details
Date
4/30/2025
Report number
00398969-AP-369783
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to intervene when resident's condition changed
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2)
411-054-0040(1)(d)
Findings
The Alleged Victim (AV) has cognitive deficits and relies on the facility for his/her care. According to an investigation, on or about April 24, 2025, AV was exhibiting symptoms of a change in condition at around 2:00 PM when staff observed AV slumped over in his/her wheelchair. AV was transported to the hospital more than four hours later at around 7:33 PM with left sided facial droop and left sided extremity weakness, resulting in a risk of serious harm. The facility failed to intervene timely when the resident's condition changed, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01040 $375.00 fine assessed