- Date
- 3/25/2021
- Report number
- 00131654-AP-103003
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about March 25, 2021, Alleged Victim (AV) suffered an unwitnessed fall, was taken to the hospital for treatment, and was diagnosed with a fractured left radius head. AV's is care planned to use a walker during ambulation and at time of fall AV's walker was not next to him/her. An investigation determined that staff were not familiar with the intervention to remind and assist AV with his/her walker, staff were not aware of AV being a fall risk, and staff were not documenting AV's refusals to use his/her walker. At time of incident, the facility was short staffed with one staff providing care for fourteen (14) residents. The facility failed to provide a safe environment for AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP21-02765 $1500.00 fine assessed