- Date
- 9/5/2022
- Report number
- 00219217-AP-178137
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is identified as having a cognitive impairment and is unable to judge risk of falls. Between February 8th through August 21, 222, AV sustained approximately eight (8) falls. Out of those falls, AV sustained injuries on four (4) of them such as a laceration to AV’s head, a contusion to AV’s back, wound to the back of AV’ s head and a contusion on AV’s left hip, and an abrasion to AV’s right side of the forehead and skin tear to the right elbow. On or about September 5, 2022, AV suffered a fall that resulted in a laceration to AV’s head. 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
- RCFCP23-00676 $1125.00 fine assessed