- Date
- 9/19/2025
- Report number
- 00427774-AP-379443
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for his/her care. Witness 1 (W1) has a history of agitation and aggressive behaviors. AV and W1 were roommates and W1 had stated a dislike of W1's roommate. According to an investigation, on or about September 19, 2025, AV reported W1 had struck AV while in the room they shared, resulting in scratches, bruises and a cut to AV's forearms and wrists. At the time of the incident, W1's service plan identified that W1 would be re-directed by staff to minimize behaviors but did not provide specific interventions for staff to follow when behaviors occurred. The facility failed to properly care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01426 $500.00 fine assessed