- Date
- 11/15/2022
- Report number
- 00236438-AP-193786
- 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 and change of AV’s condition. AV had multiple documented falls between September 21, 2022, and November 15, 2022, some resulting in injury including but not limited to a head injury, lacerations, and fracture of nasal bone. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.