Violation Details: 00436208-AP-388074

Records Request Print
Date
10/30/2025
Report number
00436208-AP-388074
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to maintain a safe physical environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0025(4)
Findings
The Alleged Victim (AV) relies on the facility for his/her care and has a history of resident-to-resident altercations. AV is care planned to have a door alarm that sounds when door is opened because AV does not like other residents wandering into AV's room. According to an investigation, on or about October 30, 2025, W1 entered AV's room and stomped on AV's foot during an altercation, resulting in unreasonable discomfort. The door alarm did not sound as the batteries were dead. The facility did not have a system to ensure batteries were checked and working. The facility failed to provide a safe physical environment, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP26-00150 $188.00 fine assessed