- Date
- 11/13/2021
- Report number
- 00169998-AP-134889
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) was noted to be a fall risk on or about October 8, 2021, due to multiple diagnoses. However, no changes were made to AV’s care plan after a fall he/she sustained on or about October 8, 2021. On or about November 13, 2021, AV fell out of his/her wheelchair, as a result of the fall, AV sustained a 3 x 4-inch open scrape on his/her forehead, bruising on his/her breast and 2 black eyes. AV also showed signs of pain. The facility failed to properly plan care for AV and mitigate the risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00775 $188.00 fine assessed