- Date
- 8/23/2025
- Report number
- 00431964-AP-383776
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) resides in the Respondent’s facility and depends on the facility staff to provide appropriate supervision and care. AV has a documented history of falls, including approximately eight falls between July 2025 and August 2025. According to AV’s service plan, AV requires standby assistance with bathing but is independent with dressing, grooming, toileting, transfers, and mobility. Despite this, the respondent failed to develop adequate interventions to mitigate AV’s ongoing fall risk.
On or about August 23, 2025, facility staff heard AV screaming and found AV on the floor with a wet area beneath AV, and AV had a bleeding toenail on the right foot. The Respondent failed to develop and implement appropriate interventions to address AV’s continued fall risk. This failure constitutes abuse by neglect.
- Sanction
- RCFCP26-00379 $500.00 fine assessed