- Date
- 12/13/2022
- Report number
- 00236622-AP-193957
- 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 provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. Based on facility documentation and interviews, AV had multiple falls while under facility supervision between October 30, 2022 and December 14, 2022. AV fell a total of five (5) times in the month of November 2022 and the facility failed to take appropriate action after each of these falls. AV fell again on December 14, 2022, while in his/her bathroom causing AV pain and unreasonable discomfort. The facility's failure to properly care plan for AV's fall risk resulted in AV experiencing several falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00519 $500.00 fine assessed