Violation Details: 00423185-AP-374674

Records Request Print Provider Details
Date
8/25/2025
Report number
00423185-AP-374674
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
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 listed as a two person assist in ambulation and unable to ambulate on his/her own per the care plan. AV is listed as independent with call system but also lists AV cannot use the call system. AV had four (4) falls in July of 2025. On or about August 27, 2025, AV was found on the floor with an injury to his/her right hip/upper thigh. The facility failed to care plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01318 $500.00 fine assessed