- Date
- 3/5/2023
- Report number
- 00251072-AP-206835
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) has a history of falls, that include AV not using h/h walker appropriately, and AV walking with one hand on the walker and one hand carrying items. AV is service planned for staff to ensure AV is wearing non-skid socks, one slipper on each foot, and staff to encourage AV to use h/h walker. On or about March 5, 2023, video footage shows AV was not using h/h walker appropriately and was also carrying items in one hand, which resulted in AV falling and sustaining a laceration to h/h right eye and cheekbone, skin tear to h/h right elbow and bruising to right shoulder. AV was sent to the emergency room and received sutures for lacerations. The facility failed to appropriately adjust AV care plan and implement reasonable interventions to address AVs falls and continued improper use of h/h walker and carrying items in h/h hands to keep AV safe from falling, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00631 $1500.00 fine assessed