- Date
- 5/15/2023
- Report number
- 00263195-AP-218493
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is a known fall risk, with a documented history of increased falls recently. Multiple interventions the facility put in place were either already on the service plan or contradicted the service plan. On or about May 15, 2023, AV was found on their bathroom floor resulting in a closed head injury, neck sprain and left shoulder contusion. The facility failed to put effective, person-centered interventions in place after repeated falls, leading to multiple falls with injuries, which is a violation of resident rights is neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01125 $500.00 fine assessed