Violation Details: 00262749-AP-217886

Date
5/2/2023
Report number
00262749-AP-217886
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The facility failed to provide adequate supervision to Alleged Victim (AV), which resulted in AV suffering multiple falls with injuries while self-propelling in his/her wheelchair. Based on facility documentation and interviews, at time of investigation AV's care plan did not reflect AV's current care needs related to ambulation which placed AV a risk of more falls. The facility's failure to properly care plan for AV's fall risk is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01318 $500.00 fine assessed