Violation Details: 00439951-AP-391804

Records Request Print
Date
9/24/2025
Report number
00439951-AP-391804
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe 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), 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility to provide a safe environment and follow the AV's care plan. On or about 09/24/2025, AV suffered a fall in their room when going to the bathroom. AV suffered a fracture and other lacerations, along with pain in other extremities. The facility failed to install a soft light in AV's room as indicated by the service plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP26-00212 $500.00 fine assessed