Violation Details: 00445195-AP-397182

Date
12/12/2025
Report number
00445195-AP-397182
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On December 19, 2025, ODHS Adult Protective Services (APS) completed investigation #00445195 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) and Witness 1 (W1) both live at Respondent’s facility. On December 12, 2025, the facility failed to adequately monitor and separate W1 and AV despite their known history of resident-to-resident altercations. W1 and AV had multiple conflicts between October 18, 2025, and November 7, 2025, with escalating frequency. During the December 12, incident, AV made a comment as W1 passed in the dining room, prompting W1 to pour coffee on AV. The facility failed to develop sufficient interventions and appropriately monitor W1 and AV to mitigate known risks, resulting in unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction
RCFCP26-00084 $1500.00 fine assessed