- Date
- 2/28/2020
- Report number
- 00074247-AP-054558
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to assure timely medical treatment
- Result
- Substantiated
- Findings
- On or about February 28, 2020, the Alleged Victim (AV) had taken him/herself to the bathroom and had an unwitnessed fall, hitting his/her midsection against a counter. AV complained of pain to his/her right side and AV was placed in his/her bed. Staff did not call EMT's for evaluation until the following day, at which time, staff did not advise the EMT's that AV was on anti-coagulant medication, nor did staff call AV's POA to advise of the fall until 4 days later. On March 2, 2020, AV's POA advised the facility to transfer AV to the hospital where he/she was diagnosed with diminished breathing and right sided fractured ribs. AV's condition worsened to fluid in the lungs which he/she could not recover from and passed away. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP20-00589 $1500.00 fine assessed