- Date
- 9/25/2025
- Report number
- 00429179-AP-380905
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) was a known fall risk with a history of falls. According to an investigation, the AV experienced approximately ten unwitnessed falls between July 22, 2025, and August 18, 2025, resulting in pain, bruising, and head injuries. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care, and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) and neglected the AV was investigated and determined to be not substantiated.
- Sanction
- RCFCP25-01458 $188.00 fine assessed