Violation Details: 00427217-AP-378875

Records Request Print Provider Details
Date
9/17/2025
Report number
00427217-AP-378875
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has impaired cognition and memory. According to an investigation, on or about September 17, 2025, AV was assisted off the secured unit by staff taking a group of residents on a bus activity. AV walked away from the group while the bus was being loaded and was outside, unsupervised after the bus left for about 13 minutes, resulting in the potential for serious harm. The facility failed to ensure AV's service planned need for supervision was provided and failed to prevent elopement which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
RCFCP25-01356 $1125.00 fine assessed