- Date
- 8/5/2019
- Report number
- 00043709-AP-030624
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) had a known history of falls and was care planned for a wedge cushion and a non-skid pad. Documentation indicates the wedge cushion was slipping off of AV's chair frequently. On or about August 5, 2019, AV fell out of his/her wheelchair due to the wedge cushion slipping and sustained injury. The non-skid pad was not in place at the time of the fall. The facility failed to provide a safe environment and failed to follow the care plan which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP20-00001 $375.00 fine assessed