- Date
- 8/13/2020
- Report number
- 00098808-AP-074919
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relied on the facility to meet his/her basic care needs and is a high fall risk. AV was given a back brace at the hospital with instructions to keep the brace on except when bathing. The facility updated AV's care plan to include AV should be encouraged to wear his/her back brace as tolerated, that AV needs to be in his/her wheelchair to ambulate as much as possible, and that he/she should be checked on frequently. Per facility documentation AV took his/her back brace off regularly. The facility failed to provide sufficient documentation to indicate AV was encouraged to wear his/her back brace, putting AV at risk for serious harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP21-01733 $500.00 fine assessed