Violation Details: 00430047-AP-381847

Records Request Print
Date
9/28/2025
Report number
00430047-AP-381847
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for his/her care. AV was care planned to not be left unattended in the courtyard. According to an investigation, on or about September 28, 2025, AV was unattended in the courtyard and experienced an unwitnessed fall, resulting in a skin injury. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care which constitutes abuse.