- Date
- 4/27/2021
- Report number
- 00137521-AP-108141
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) has a history of falls, which included several falls between February 20, 2021, and April 27, 2021. AV was also care planned to have his/her wheelchair next to the bed and was independent with self-transferring. On or about April 27, 2021, AV was found on the floor with the wheelchair located approximately three (3) feet away from AV. AV was taken to the hospital and diagnosed with a hip fracture that required surgery. The facility failed to care plan for AV's known history of falls and failed to follow the care plan regarding the wheelchair placement. These failures are a violation of resident rights, is neglect of care which constitutes abuse.
- Sanction
- RCFCP22-00379 $2500.00 fine assessed