Violation Details: 00438257-AP-390068

Date
11/9/2025
Report number
00438257-AP-390068
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On November 9, 2025, Alleged Victim (AV) and Witness 1 (W1) were involved in a resident-to-resident altercation during which W1 struck AV in the face, resulting in a visible red mark. Facility documentation and staff interviews indicate that W1 has a history of behavioral incidents and is care-planned to receive appropriate supervision when in proximity to other residents. At the time of the incident, both AV and W1 were in the dining room without the required level of supervision to mitigate known safety risks. The facility’s failure to adequately supervise W1 and intervene to prevent the altercation resulted in unreasonable discomfort and physical harm to AV which is a violation of resident rights is considered neglect of care which constitutes abuse.
Sanction
RCFCP26-00227 $375.00 fine assessed