Violation Details: 00451964-AP-414061

Records Request Print
Date
12/22/2025
Report number
00451964-AP-414061
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
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)
External site: 411-054-0036(2)(e) and (g)
Findings
The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about November 12, 2025, the facility identified AV as needing additional fall interventions and monitoring. AV's service planned interventions were only partially effective. Between November 12, 2025 and December 22, 2025, AV experienced multiple additional falls and required hospital evaluation. The facility did not develop or implement effective changes following the falls. The facility failed to properly plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction
RCFCP26-00413 $1500.00 fine assessed