Violation Details: 00091598-AP-068965

Date
7/4/2020
Report number
00091598-AP-068965
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
Alleged Victim (AV) is a high fall risk and is care planned to have a tab alarm in his/her room for staff to use when AV is in bed or in his/her chair. On or about July 4, 2020, staff assisted AV to get ready for bed and left AV sitting on his/her couch. Staff did not attached AV's tab alarm as required. AV fell sustaining a head injury, was transported to the hospital, received stitches to close the head injury and diagnosed with a concussion. AV's tab alarm had been malfunctioning prior to the fall and needed to be replaced. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP20-01028 $375.00 fine assessed