Violation Details: 00172529-AP-136922

Date
11/30/2021
Report number
00172529-AP-136922
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had multiple falls between November 1, 2021, and November 30, 2021, some resulting in injury including but not limited to a head injury, skin tears, abrasions and bruising, and causing AV repeated unreasonable discomfort. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01447 $375.00 fine assessed