Violation Details: 00412391-AP-363571

Records Request Print
Date
7/7/2025
Report number
00412391-AP-363571
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), 411-054-0027(1)(g) and (s), 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. Witness 2 (W2) has a history of wandering and resistive behaviors and is care planned to be redirected with assistance from staff when wandering into other residents’ rooms. According to an investigation, on or about July 07, 2025, W2 wandered into AV's room and got into AV's bed, pushing AV against the wall. W2 was resistive to staff attempts to get out of the bed and W2 remained in bed, resulting in AV experiencing unreasonable discomfort. No interventions were determined to address the behavior. The facility failed to provide a safe environment and properly plan care, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP26-00012 $375.00 fine assessed