Violation Details: 00424941-AP-376482

Records Request Print
Date
9/6/2025
Report number
00424941-AP-376482
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) resides in the Respondent’s facility and depends on facility staff for personal care and safety. AV has a documented history of falls on 06/14/2025, 06/16/2025, and 08/14/2025. Despite this, the facility failed to develop adequate interventions to mitigate AV’s fall risk. On or about 09/07/2025, 09/19/2025, and 10/02/2025, AV experienced additional falls resulting in injury, pain, and hospitalization. The Respondent failed to develop and implement appropriate interventions. This constitutes abuse by neglect.
Sanction
RCFCP26-00524 $375.00 fine assessed