Violation Details: 00423473-AP-375054

Records Request Print
Date
8/27/2025
Report number
00423473-AP-375054
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. AV has known visual deficits and has a history of unwitnessed falls that occurred in AV’s room. According to an investigation, between August 19, 2025, and August 27, 2025, AV complained of pain and AV’s hip area appeared swollen. AV was sent to the hospital where AV was diagnosed with a fracture and a blood clot in the hip area. The facility failed to appropriately plan care and/or implement interventions to mitigate the risk of injury, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
RCFCP25-01474 $1500.00 fine assessed