- Date
- 9/3/2022
- Report number
- 00220332-AP-179132
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim’s (AV’s) care plan states AV requires a gait belt with all transfer and ambulation assistance and staff are to ensure AV has gait belt on at all times, AV requires escort to all activities and requires wearing a gait belt around him/her when up and moving around. On or about September 5, 2022, AV suffered a fall and sustained injuries to his/her right elbow and right side of the head. The fall occurred in the facility’s courtyard while AV was ambulating without staff assistance. On or about September 13, 2022, AV was found on the floor in his/her room in front of the closet. AV was laying on his/her right side and sustained a skin tear to his/her right elbow. The facility failed to assure AV’s care plan was being followed regarding AV’s ambulation, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00753 $500.00 fine assessed