- Date
- 8/1/2021
- Report number
- 00240670-AP-197450
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. The facility's failure resulted in AV experiencing multiple falls with injury. Based on facility documentation, AV suffered five (5) falls in August 2021 and three (3) falls in September 2021. Following each incident, the facility did not implement new interventions for fall prevention, causing AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00594 $1500.00 fine assessed