Violation Details: 00217940-AP-176955

Date
8/25/2022
Report number
00217940-AP-176955
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Findings
The Alleged Victim (AV) was care planned as a fall risk and has a history of falls, which included approximately three falls between August 4, 2022, and August 18, 2022. The facility failed to care plan or appropriately implement interventions according to the Alleged Victim (AV)'s needs, relating to falls. On or about August 25, 2022, AV was found on the floor in his/her bedroom with a head injury and sent to the hospital for evaluation, where he/she was diagnosed with a spinous process fracture. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
RCFCP23-00971 $1125.00 fine assessed