- Date
- 7/13/2025
- Report number
- 00413566-AP-364743
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) and Witness 1 (W1) have cognitive deficits, rely on the facility for their care and have a history of resident-to-resident altercations with other residents. W1 had a history of recent verbal threats of aggression. According to an investigation, on or about July 13, 2025, W1 hit AV during an altercation, resulting in multiple injuries including a bump and abrasion to the temple area, swelling and bruising above the right eyebrow, cuts above the ear and swelling to AV's mouth area and lips. At the time of the incident, W1's service plan identified non-drug interventions for mental health but did not provide specific interventions for staff to follow to address agitation or aggressive behaviors. The facility failed to properly address resident behaviors, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01021 $188.00 fine assessed