- Date
- 8/24/2022
- Report number
- 00217843-AP-176861
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) requires staff assistance to complete all ADLs and requires staff to assist with ambulation due to AV being a “high risk” for falls. AV suffered an unwitnessed fall on or about August 15, 2022. A fall risk re-evaluation was not performed following the fall on August 15, 2022. AV sustained additional falls on August 17th, 21st, and 23rd, 2023. On or about August 24, 2022, AV suffered an unwitnessed fall, AV was found on the ground face first near bedside. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitute abuse.
- Sanction
- RCFCP23-00463 $1125.00 fine assessed