- Date
- 9/17/2025
- Report number
- 00427502-AP-379240
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) lives at Respondent’s facility. AV has history of falls, including an incident that occurred in August 2025, resulting in injury and requiring a two-week hospital stay. AV's service plan reflects that AV is a fall risk, and interventions in place, facility staff to perform safety checks on AV 2 times per shift (every 4 hours), AV uses fronted wheeled walker, and requires one-person assistance with ambulating, transfers, bathing, dressing, personal hygiene and toileting. On or about September 17, 2025, facility staff found AV lying on h/h back on the floor in the bathroom, with shower on. AV has a lump on back of head, and left shoulder pain. AV transported to emergency room for evaluation. Respondent failed to provide a safe environment, and follow AVs service plan, which constitutes abuse by neglect.
- Sanction
- RCFCP26-00222 $375.00 fine assessed