Violation Details: 00435806-AP-387753

Records Request Print
Date
10/29/2025
Report number
00435806-AP-387753
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
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 their care. AV is care planned for two-person staff assistance, using a gait belt, for all transfers and requires one-person staff assistance with ambulation, using a wheelchair. AV has a history of falls and is known to self-transfer without asking for staff assistance. According to an investigation, on or about October 29, 2025, AV experienced a fall, resulting in knee pain. The facility failed to provide services, to include properly care planning and/or implementing interventions, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP26-00296 $500.00 fine assessed