Violation Details: 00414815-AP-366053

Records Request Print Provider Details
Date
7/16/2025
Report number
00414815-AP-366053
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
Alleged Victim (AV) was on a puree food and thickened liquid diet per his/her care plan. AV has chewing difficulty and has a diagnosis of Dysphagia. As of July 16, 2025, AV was being served ice cream as part of his/her diet under the misimpression that it qualifies as a thickened liquid. AV has also been receiving water which has placed AV is risk of aspiration. The facility failed to assure AV’s care plan was being followed, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01288 $500.00 fine assessed