Violation Details: 00179063-AP-142341

Date
1/9/2022
Report number
00179063-AP-142341
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) resides in a room in the facility that shares a bathroom with another resident. The other resident wanders into AV's room, which is upsetting to AV. On or about January 8, 2022, AV was trying to alert staff that his/her neighbor was in his/her room, and AV suffered a fall, causing bruising to his/her back and shoulder. On or about January 9, 2022, AV fell again, hitting his/her head and suffering left hip pain, which resulted in AV being sent to the hospital and being diagnosed with a hip fracture. It is unclear if AV was trying to use the restroom or trying to notify staff of the neighbor in his/her room. The facility failed to properly care plan to reduce AV's falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-00755 $1500.00 fine assessed