Violation Details: 00251914-AP-207615

Date
3/13/2023
Report number
00251914-AP-207615
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
The Alleged Victim (AV) was care planned to be escorted to and from the dining room for every meal. According to an investigation, on or about March 13, 2023, the AV fell while using his/her walker to ambulate on his/her own to the dining room for lunch. As a result of the fall, AV experienced unreasonable discomfort and bruising to his/her back and lower leg area. The facility failed to follow AV’s care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01296 $188.00 fine assessed