- Date
- 5/2/2020
- Report number
- 00082241-AP-061151
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to appropriately care plan for the Alleged Victim regarding his/her risk of falls. On February 21, 2020, the facility received a doctors order for a wheel chair alarm to assist in preventing falls, which the facility failed to enact. In the following three months, the Alleged Victim had multiple falls from standing up from his/her wheelchair. On or about May 2, 2020, the Alleged Victim was found on the floor from a fall after standing up from his/her wheelchair, was transported to the hospital for treatment and was diagnosed with a head laceration, extensive facial fractures, a brain bleed and passed several days later. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP20-01017 $2500.00 fine assessed