Violation Details: 00265881-AP-220932

Date
5/25/2023
Report number
00265881-AP-220932
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 26, 2023, AV experienced two falls and complained of back and hip pain and was sent to the hospital for treatment. 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
RCFCP23-01128 $3000.00 fine assessed