- Date
- 5/7/2021
- Report number
- 00139859-AP-110089
- 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 8th through April 10, 2021, AV had sustained five (5) falls, all falls were in the morning hours between 6:00 – 8:00 am. On or about May 7, 2021, AV was found on the floor at 6:45 am. No safety checks were documented as being done by staff from 1:00 am to 11:00 am on the day of the incident. 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
- RCFCP22-00688 $1500.00 fine assessed