Violation Details: 00238775-AP-195816

Date
12/28/2022
Report number
00238775-AP-195816
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim’s (AV’s) Care Plan stated he/she is a high fall risk with an unsteady/shuffling gait. On or about December 15, 2022, AV sustained a fall which resulted in a shattered knee and right hip fracture. AV has a second fall on or about December 21, 2022. AV has a third fall on or about December 26, 2022, resulting in a hematoma with skin tear to the forehead and another skin tear to AV’s right arm. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP23-01030 $1500.00 fine assessed