- Date
- 8/16/2023
- Report number
- 00280385-AP-234935
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. The failure resulted in AV suffering a fall on or about August 17, 2023, in which AV was diagnosed with a fractured hip. Based on review of facility documentation and interviews, AV suffered falls on June 4, 2023, June 22, 2023, June 30, 2023, July 10, 2023, July 16, 2023, and July 23, 2023. Despite multiple falls, the facility failed to place preventative measures in order to reduce risk for the AV. The facility's failure caused unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01468 $1125.00 fine assessed