Violation Details: 00475322-AP-427731

Records Request Print
Date
3/3/2026
Report number
00475322-AP-427731
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
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 to provide care and services. Av suffered a fall on 3/3/26 and the facility did not have any documentation in AV's service plan for the change of care needs based on the injury AV sustained from the fall. Prior to the fall, AV required little care and after the fall, AV required full assistance from the facility staff, however no changes were made to AV's care plan to alert staff of the change in care needs. The facility failed to update AV's service plan to ensure AV got proper care from the facility staff, which is a violation of resident rights and is neglect which constitutes abuse.
Sanction
RCFCP26-00696 $188.00 fine assessed