Violation Details: 00416385-AP-367629

Records Request Print Provider Details
Date
7/24/2025
Report number
00416385-AP-367629
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) has a known history of falls. AV requires the use of walker when ambulating, per his/her service plan. Several facility staff stated AV's walker was having issues on or about July 24, 2025, and one facility staff stated they filled out a piece of paper regarding one of the incidents and documented about the walker issue. There were no documents showing AV's walker issues. On or about July 24, 2024, at approximately 3:00 a.m., AV had an unwitnessed fall that resulted in injury. AV had a recent fall earlier that morning that resulted in injury. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01314 $500.00 fine assessed