Violation Details: 00429298-AP-381386

Date
9/27/2025
Report number
00429298-AP-381386
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) resides in a secured Memory Care community and relies on the facility to properly care plan to ensure needs are met. According to an investigation, on or about September 27, 2025, the AV was sent out to the emergency department unaccompanied. The transportation service that returned the AV to the facility dropped them on in the unsecured portion of the facility. The AV was at risk of harm, wandering the unsecured area for approximately three hours. The facility failed to ensure the AV's service plan provided clear instruction for supervision needed when out of the facility, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction
RCFCP25-01485 $375.00 fine assessed