- Date
- 9/1/2023
- Report number
- 00283693-AP-238103
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) has a history of falls and was care planned as a high fall risk and one-person assist with all transfers. According to an investigation, on or about September 1, 2023, AV fell while self-transferring out of bed into his/her wheelchair. AV was sent to the emergency department where he/she was diagnosed with a head injury. The facility failed to properly care plan to mitigate risk of falls and self-transferring, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00133 $1500.00 fine assessed