- Date
- 8/7/2025
- Report number
- 00419300-AP-379360
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for care and has a recent history of falls. According to an investigation, on or about August 12, 2025, AV had an unwitnessed fall in their room, resulting in a hospital visit where AV was diagnosed with a closed head injury with unknown loss of consciousness, multiple contusions, advanced dementia, UTI and dehydration. The facility failed to provide services, to include implementing interventions to mitigate AV’s increasing fall risk and resident safety, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01304 $1125.00 fine assessed