- Date
- 11/24/2025
- Report number
- 00441310-AP-393240
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) and Witness 1 (W1) reside in the Respondent’s facility and depend on facility staff to meet their daily care and safety needs. W1 has a history of wandering into other residents’ rooms and becoming involved in altercations with other residents, including AV. Including incidents in August 2025. The facility failed to develop or implement adequate interventions to address W1’s wandering, aggressive behaviors or to reduce risk to AV.
On or about November 24, 2025, facility staff heard yelling and discovered that W1 had wandered into AV’s room, resulting in a physical altercation which W1 grabbed AV’s wrist and pushed AV to the ground. The Respondent failed to develop and implement suitable interventions. This failure constitutes abuse by neglect.
- Sanction
- RCFCP26-00414 $375.00 fine assessed