Violation Details: 00429308-AP-381060

Records Request Print
Date
9/28/2025
Report number
00429308-AP-381060
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
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) relies on the facility to provide a safe environment. According to an investigation, on or about 9/28/2025 staff found AV's room to be engulfed in flames and staff were unable extinguish the fire. AV was known to be a former smoker and facility staff reported seeing lighters in AV's room. The facility failed to implement a safety plan and assessment of AV, when the facility was aware of AV's former smoker status and had lighters and pipe in their room, which is a violation of resident rights and is considered neglect of care which constitutes abuse.
Sanction
RCFCP25-01455 $8500.00 fine assessed