Violation Details: 00451481-AP-403488

Records Request Print
Date
1/16/2026
Report number
00451481-AP-403488
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to intervene when resident's condition changed
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 for care and services. According to an investigation, Witness 1 (W1) and AV shared a room together. W1 was known to have agitation and other altercations with other facility residents. The facility did not follow up on progressive interventions for W1's behavioral symptoms, which led AV to getting hurt by W1. The facility failed to implement interventions for W1, which led to AV getting injured in an altercation with W1, which is neglect of care and constitutes abuse.
Sanction
RCFCP26-00521 $375.00 fine assessed