- Date
- 3/12/2020
- Report number
- 00075562-AP-055672
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The facility failed to follow the Alleged Victim's (AV) care plan to ensure a pressure alarm was in place if he/she was left unattended. On or about March 12, 2020, a miscommunication between staff left AV unattended, in the dining room, without his/her pressure alarm in place. The failure resulted in AV ambulating without assistance, attempting to sit down in his/her chair and experiencing a fall with skin injuries, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP20-00880 $375.00 fine assessed