- Date
- 10/9/2023
- Report number
- 00290484-AP-244490
- 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. On or about October 9, 2023, AV fell and sustained a hip fracture. Based on facility documentation and interviews, AV had previous falls on April 17,2023, July 1, 2023, July 28, 2023, and August 8, 2023; four of these five falls occurred in AV's bathroom. The facility's failure to implement fall preventions/interventions regarding AV's care needs with toileting and mobility assistance to and from the bathroom, caused AV to experience multiple falls, causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01506 $1125.00 fine assessed