Violation Details: 00153999-AP-121990

Date
7/29/2021
Report number
00153999-AP-121990
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
The facility failed to provide basic services necessary to maintain Alleged Victim's (AV) health and safety which resulted in AV having a fall with an injury. An investigation determined that AV suffered an unwitnessed fall in his/her bedroom which resulted in AV having a small abrasion to his/her forehead about 1.5 centimeters. AV's care plan states that toileting checks should be done every 2 hours but visual checks are to be done every 30 minutes. At time of incident, it was determined facility failed to follow AV's care plans for toileting checks which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP21-03613 $375.00 fine assessed