Violation Details: 00125872-AP-097969

Date
2/14/2021
Report number
00125872-AP-097969
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
On or about February 14, 2021, the Alleged Victim (AV) was found on the floor in his/her bathroom after sliding out of his/her wheelchair. On February 19, 2021, AV had fallen out of his/her wheelchair while self-propelling. It was known to the facility that AV has a tendency to move to the edge of the chair while self-propelling, however, AV was not care planned for staff to be aware and intervene while AV is not sitting correctly in the wheelchair to prevent falls. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-02281 $500.00 fine assessed