- Date
- 9/17/2025
- Report number
- 00427197-AP-378858
- 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 has a history of falls and behaviors. AV is care planned to have a motion detector and frequent monitoring to ensure resident safety. On or about September 17, 2025, AV attempted to get out of bed and fell, resulting in abrasions to the lower left shoulder and the left side of AV’s head. According to an investigation, AV's motion detector did not alert staff of AV's movements, and that is what the facility was mainly relying on for monitoring. The facility failed to provide appropriate services, to include following the care plan and/or implementation of effective interventions, resident monitoring, and providing a safe environment for AV, causing AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP26-00204 $375.00 fine assessed