- Date
- 10/31/2022
- Report number
- 00229594-AP-187637
- 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 regarding Alleged Victim’s (AV) known fall risk. AV had approximately fifteen (15) falls between August 12, 2022, and October 31, 2022, some resulting in injury including but not limited to skin tears, abrasions, bruising, and a head injury. The facility failed to implement effective interventions to mitigate AV’s increasing fall risk, causing repeated unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00876 $338.00 fine assessed