- Date
- 4/21/2021
- Report number
- 00136173-AP-106983
- 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. Between February 23, 2021, through April 21, 2021, AV had been found on the floor and/or sustained falls on approximately eleven (11) occasions. On or about April 4, 2021, staff responded to noises from AV’s room and found AV on the floor. AV had laceration on the back of his/her head and was sent to the hospital where he/she received three staples to close the wound. On or about April 7, 2021, staff found AV on the floor in his/her room. AV had a laceration on this/her head and was sent to the hospital and returned with staples. On or about April 10, 2021, AV was not at base line and feel four (4) times in a thirty-minute period and was transported to the hospital. AV was diagnosed with a brain hemorrhage and gallstones and was admitted to the hospital. On or about April 21, 2021, AV was found on the floor in his/her room with a head injury. AV was transported to the ER and returned with staples to close the wound. 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
- RCFCP21-03601 $1125.00 fine assessed