- Date
- 6/10/2025
- Report number
- 00409788-AP-360882
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- According to the documentation, the facility failed to properly care plan appropriate interventions for Witness 1’s (W1) after they had a change of condition. On or about June 10, 2025, the Alleged Victim (AV) was sitting in a chair and W1 tipped the chair over, causing them to fall and sustain a scrape to their knee. W1 had increased agitation due to their medical provider discontinuing mediation used for mood and behavioral management. The result of W1 medication change increased their aggression and agitation. There were no interventions placed on his/her service plan resulting in a resident-to-resident altercation, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00850 $375.00 fine assessed