- Date
- 4/27/2021
- Report number
- 00137335-AP-107977
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) has a known history of falls. From February 23, through April 26, 2021, AV had been found on the floor or sustained falls on nine (9) occasions. On or about April 26, 2021, AV had a fall documented as a non-injury. The facility requested AV's medical provider order an X-Ray and it was discovered that AV had sustained a fracture to his/her hip. AV was hospitalized for hip surgery. 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
- RCFCP21-03214 $1500.00 fine assessed