Violation Details: 00277838-AP-232521

Date
7/28/2023
Report number
00277838-AP-232521
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. Between June 11, 2023, and July 28, 2023, AV experienced multiple falls, some resulting in injury, to include skin tears, and two hip fractures. The facility failed to put effective, person-centered interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP23-01545 $1500.00 fine assessed