Violation Details: 00139687-AP-109949

Date
5/6/2021
Report number
00139687-AP-109949
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. Between February 12th through April 26th, 2021, AV sustained falls or was found on the floor on approximately six (6) occasion. AV sustained injuries on some of those falls. On or about May 6, 2021, AV was found on the floor parallel to his/her bed. AV was found with no shoes and socks and had blood all over AV’s clothes and sheets. AV had a head wound and was sent to the emergency room. 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
RCFCP22-00438 $1500.00 fine assessed