- Date
- 10/31/2025
- Report number
- 00436373-AP-388254
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) and Witness 1 (W1) reside in the Respondent’s facility and rely on facility staff for their safety and assistance with daily care needs. AV has a documented history of behaviors involving other residents, including resident-to-resident altercations. AV’s service plan reflects a pattern of altercations occurring in the dining room following meals.
On October 31, 2025, AV and W1 were involved in a physical altercation in the dining room. Facility staff found AV lying on the floor next to a chair. W1 sustained a skin tear to the left hand. AV sustained a skin tear to the right forearm and to the left jaw/cheek area. AV also reported head pain after striking AV’s head. EMS responded to evaluate AV, and AV was administered PRN medication for agitation following the incident.
The Respondent failed to provide adequate supervision and ensure a safe environment for AV. This failure constitutes abuse by neglect.
- Sanction
- RCFCP26-00441 $375.00 fine assessed