- Date
- 12/28/2021
- Report number
- 00176887-AP-140549
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) has a history of falls. AV had 11 falls between August 2021 and December 2021, mostly which resulted in injury to AV. On October 7, 2021, AV fractured his/her left shoulder. No change of condition was completed by the facility at that time. AV suffered 4 falls in December 2021, the facility failed to implement new fall interventions after those falls. On or about December 28, 2021, AV fell again, re-fracturing his/her left shoulder. The faciilty failed to properly care plan to ensure the safety of AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP22-00648 $1125.00 fine assessed