- Date
- 11/27/2025
- Report number
- 00453089-AP-405202
- 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) has a history of falls and relies on the facility to manage their medications. According to an investigation, the AV fell three times between November 27, 2025, and January 3, 2026, resulting in bruising, abrasions, and requiring an emergency room visit and staples to the head. The AV is prescribed a medication to reduce fluid retention. The facility failed to re-order the medication. The medication was not administered between January 8, 2026, to January 11, 2026, resulting in pain, discomfort, and requiring a hospital stay for treatment of the fluid retention. The facility failed to appropriately care plan for the AV's falls and to administer the AV's medications as ordered, which is a violation of resident’s rights, is neglect of care, and constitutes abuse
- Sanction
- RCFCP26-00121 $188.00 fine assessed