- Date
- 1/21/2020
- Report number
- 00067466-AP-048864
- 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. On or about January 21, 2020, AV fell sustaining injury. The facility initiated a one person minimal assist for ADL's. AV fell again on or about January 22, 2020 at approximately 130pm. The facility implemented AV to use his/her call button to ask for assistance. It was known AV refused to use his/her call light. AV experienced a second fall on January 22, 2020, resulting in unreasonable discomfort. The facility failed to care plan and implement appropriate interventions to mitigate AV's risk of injury due to falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP20-00428 $375.00 fine assessed