Violation Details: 00422694-AP-374194

Date
8/26/2025
Report number
00422694-AP-374194
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for care and is care planned for staff to redirect AV if wandering into other resident rooms. Witness 1 (W1) relies on the facility for care and is care planned to ensure their room door is locked to prevent other residents from entering. AV and W1 have a history of an altercation previously in W1's room. On or about August 26, 2025, AV wandered into W1’s room resulting in W1 using their grabber tool to hit AV in the left hand and forehead, resulting in a skin tear to AV. The facility failed to provide appropriate services, to include care planning and/or implementation of effective interventions to address AV's behaviors and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP25-01447 $375.00 fine assessed