Violation Details: 00212282-AP-171791

Date
7/25/2022
Report number
00212282-AP-171791
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 related to the Alleged Victim’s (AV) fall history. On or about July 25, 2022, AV suffered a fall in h/h bedroom during a transfer from h/h bed with use from a Hoyer lift, resulting in fracturing h/h femur and was transported to the Emergency Department. The failure resulted in AV experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-00455 $375.00 fine assessed