Violation Details: 00136161-AP-106940

Date
12/13/2020
Report number
00136161-AP-106940
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about December 13, 2020, AV suffered a fall resulting in an injury requiring hospitalization. While reviewing the documents, APSS discovered AV had a number of falls within a three-month time frame. Between December 13, 2021 through February 18, 2021, AV sustained nine (9) unwitnessed falls. Three falls resulted in injury or complaint of pain. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP21-03599 $500.00 fine assessed