- Date
- 9/1/2023
- Report number
- 00283899-AP-238321
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to provide service
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk with a history of falls. According to an investigation AV experienced multiple falls between June 29, 2024, and August 17, 2024. AV had another fall on or about September 1, 2024, where he/she was diagnosed with a brain bleed. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care which constitutes abuse.