Violation Details: 00185778-AP-148028

Date
2/4/2023
Report number
00185778-AP-148028
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The facility failed to assess and intervene according to the Alleged Victim’s change of condition and when s/he began to have an increase in falls. AV’s physician recommended scheduling a cardiology appointment and later for AV to be evaluated, yet there is no documentation from the facility that either recommendation was followed. Between approximately February 4 and March 14, 2022, AV experienced three falls with injury, without facility interventions. The facility’s failure to provide appropriate services to AV resulted in him/her experiencing repeated injury, and not receiving necessary evaluation for his/her medical condition, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00377 $1500.00 fine assessed