Violation Details: 00273794-AP-228531

Date
6/15/2023
Report number
00273794-AP-228531
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Alleged Victim (AV) is care planned to be a high fall risk. Between May 2023 through June 2023, AV has sustained approximately eight (8) falls, some resulting in injury. AV had been in a 10 to 15 minutes checks, however, AV was only being checked every two (2) hours. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls exposing AV to harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
RCFCP23-01047 $1000.00 fine assessed